Provider Demographics
NPI:1033356019
Name:TEAM MANAGEMENT 2000 INC
Entity Type:Organization
Organization Name:TEAM MANAGEMENT 2000 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AVA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-487-4700
Mailing Address - Street 1:20 BANTA PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5611
Mailing Address - Country:US
Mailing Address - Phone:201-487-4700
Mailing Address - Fax:201-487-4787
Practice Address - Street 1:395 PLEASANT VALLEY WAY
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2998
Practice Address - Country:US
Practice Address - Phone:973-326-2220
Practice Address - Fax:973-239-2666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000054-08251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0182044Medicaid