Provider Demographics
NPI:1083821268
Name:SUSSEX COUNTY DIVISION OF SOCIAL SERVICES
Entity Type:Organization
Organization Name:SUSSEX COUNTY DIVISION OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDERPLOEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-383-3600
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-0218
Mailing Address - Country:US
Mailing Address - Phone:973-383-3600
Mailing Address - Fax:973-383-3627
Practice Address - Street 1:83 SPRING ST
Practice Address - Street 2:SUITE 203
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2080
Practice Address - Country:US
Practice Address - Phone:973-383-3600
Practice Address - Fax:973-383-3627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0059501Medicaid
NJ8399905Medicaid