Provider Demographics
NPI:1851455489
Name:THE NEW CENTER INC.
Entity Type:Organization
Organization Name:THE NEW CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SOCIAL WORK
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENDRESS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LCSW
Authorized Official - Phone:908-241-4692
Mailing Address - Street 1:331 CHESTNUT ST
Mailing Address - Street 2:2
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-1948
Mailing Address - Country:US
Mailing Address - Phone:908-241-4692
Mailing Address - Fax:908-241-0652
Practice Address - Street 1:331 CHESTNUT ST
Practice Address - Street 2:2
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-1948
Practice Address - Country:US
Practice Address - Phone:908-241-4692
Practice Address - Fax:908-241-0652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC007539001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========Medicare UPIN