Provider Demographics
NPI:1578032660
Name:NORTH JERSEY THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:NORTH JERSEY THERAPEUTIC SERVICES
Other - Org Name:NORTH JERSEY THERAPEUTIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:RANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSAYED
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-679-5136
Mailing Address - Street 1:4 BRIDLE PATH
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08721-2194
Mailing Address - Country:US
Mailing Address - Phone:201-679-5136
Mailing Address - Fax:
Practice Address - Street 1:4 BRIDLE PATH
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-2194
Practice Address - Country:US
Practice Address - Phone:201-679-5136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty