Provider Demographics
NPI:1083191662
Name:JAHZARA'S WAY INC.
Entity Type:Organization
Organization Name:JAHZARA'S WAY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:173-280-1453
Mailing Address - Street 1:6 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-3552
Mailing Address - Country:US
Mailing Address - Phone:173-280-1453
Mailing Address - Fax:
Practice Address - Street 1:2 TECHNOLOGY DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-6600
Practice Address - Country:US
Practice Address - Phone:908-379-9590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local