Provider Demographics
NPI:1578699450
Name:THE NEW FUTURE DREAMS LLC
Entity Type:Organization
Organization Name:THE NEW FUTURE DREAMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-363-5672
Mailing Address - Street 1:127 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2859
Mailing Address - Country:US
Mailing Address - Phone:732-886-7128
Mailing Address - Fax:
Practice Address - Street 1:127 7TH ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2859
Practice Address - Country:US
Practice Address - Phone:732-886-7128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ950020105320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ950020105Medicaid