Jewish Family Service Agency Of Central Jersey | |
655 Westfield Ave Elizabeth NJ 07208-1325 | |
(908) 352-8375 | |
(908) 352-8858 |
Full Name | Jewish Family Service Agency Of Central Jersey |
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Speciality | Social Worker |
Location | 655 Westfield Ave, Elizabeth, New Jersey |
Authorized Official Name and Position | Thomas M Beck (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9083528375 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jewish Family Service Agency Of Central Jersey 655 Westfield Ave Elizabeth NJ 07208-1325 Ph: (908) 352-8375 | Jewish Family Service Agency Of Central Jersey 655 Westfield Ave Elizabeth NJ 07208-1325 Ph: (908) 352-8375 |
NPI Number | 1518051572 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 06/16/2008 |
Medicare PECOS PAC ID | 0244294197 |
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Medicare Enrollment ID | O20041119000167 |
Identifier | Type | State | Issuer |
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1518051572 | NPI | - | NPPES |
0036200 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (New Jersey) | Primary |
Provider Name | Kathleen E Russo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437288339 PECOS PAC ID: 8022072438 Enrollment ID: I20041116000468 |
Provider Name | Philip D Baird |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558491092 PECOS PAC ID: 0648217893 Enrollment ID: I20050411000192 |
Provider Name | Nancy E Rosenthal |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629104013 PECOS PAC ID: 6901846450 Enrollment ID: I20050504000892 |
Provider Name | Carol Einhorn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568601714 PECOS PAC ID: 8022165935 Enrollment ID: I20090413000016 |
Provider Name | Bonnie L Freirich |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447659354 PECOS PAC ID: 2264653484 Enrollment ID: I20141031000308 |
Provider Name | Vangie Vargas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154713303 PECOS PAC ID: 5496069718 Enrollment ID: I20150730013272 |
Provider Name | Elaine T Dill |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881820991 PECOS PAC ID: 0446547871 Enrollment ID: I20160928000883 |
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