Clifton Family Outpatient Clinic
LBN: Serv Centers Of New Jersey, Inc
Clifton Family Outpatient Clinic is an health care organization with primary practice located at 777 Bloomfield Ave Ste B Suite B, Clifton NJ 07012-1242. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Serv Centers Of New Jersey, Inc can be contacted via phone (973) 594-0125, or through Rose, James J via phone (609) 406-0100.
Contact Information
Primary practice address
777 Bloomfield Ave Ste B Suite B
Clifton NJ 07012-1242
Phone: (973) 594-0125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 500049704 | New Jersey |
Profile Details
| NPI number | 1356454615 |
|---|---|
| LBN Legal business name | Serv Centers Of New Jersey, Inc |
| DBA Doing business as | Clifton Family Outpatient Clinic |
| Authorized official | Rose, James J CPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Apr 9th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356454615 | NPPES |
| New Jersey | MEDICAID | 00144001 |
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