Basic Information
Provider Information
NPI: 1922125236
EntityType: 2
ReplacementNPI:  
OrganizationName: CARE PLUS NJ
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 610 VALLEY HEALTH PLZ
Address2:  
City: PARAMUS
State: NJ
PostalCode: 076523607
CountryCode: US
TelephoneNumber: 2012658200
FaxNumber: 2012650366
Practice Location
Address1: 611 ROUTE 46 WEST
Address2: SUITE 100
City: HASBROUCK HEIGHTS
State: NJ
PostalCode: 07604
CountryCode: US
TelephoneNumber: 2012658200
FaxNumber: 2012650366
Other Information
ProviderEnumerationDate: 03/23/2007
LastUpdateDate: 01/30/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: KRIEGER
AuthorizedOfficialFirstName: JEFFREY
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 2019865072
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X301090610NJY AgenciesCommunity/Behavioral Health 

ID Information
IDTypeStateIssuerDescription
882010405NJ MEDICAID


Home