| Jewish Family Service | |
|
110 Main Ave Passaic NJ 07055-4427 | |
| (973) 777-7638 | |
| (973) 777-9311 |
| Full Name | Jewish Family Service |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 110 Main Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Alexander Herzog (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9737777638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Service 110 Main Ave Passaic NJ 07055-4427 Ph: (973) 777-7638 | Jewish Family Service 110 Main Ave Passaic NJ 07055-4427 Ph: (973) 777-7638 |
| NPI Number | 1457385700 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457385700 | NPI | - | NPPES |
| 5857712 | Other | NJ | AETAN GROUP ID |
| G434928 | Other | NJ | OXFORD GROUP ID |
| 205038 | Other | NJ | MHN GROUP ID |
| 0263184 | Medicaid | NJ | |
| 145803 000 | Other | NJ | MAGELLAN BEHAVIORAL HEALT |
| 2021541 | Other | CIGNA (GROUP ID) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SC06729 (New Jersey) | Primary |
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