Provider Demographics
NPI:1033325790
Name:THE FIRST OCCUPATIONAL CENTER OF NJ
Entity Type:Organization
Organization Name:THE FIRST OCCUPATIONAL CENTER OF NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-672-5800
Mailing Address - Street 1:391 LAKESIDE AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-2809
Mailing Address - Country:US
Mailing Address - Phone:973-672-5800
Mailing Address - Fax:973-672-0065
Practice Address - Street 1:391 LAKESIDE AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-2809
Practice Address - Country:US
Practice Address - Phone:973-672-5800
Practice Address - Fax:973-672-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health