Provider Demographics
NPI:1851509095
Name:THE NEW CARING OF PROSPECT PARK
Entity Type:Organization
Organization Name:THE NEW CARING OF PROSPECT PARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-904-9042
Mailing Address - Street 1:262 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PROSPECT PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2010
Mailing Address - Country:US
Mailing Address - Phone:973-904-9042
Mailing Address - Fax:973-956-0549
Practice Address - Street 1:262 N 10TH ST
Practice Address - Street 2:
Practice Address - City:PROSPECT PARK
Practice Address - State:NJ
Practice Address - Zip Code:07508-2010
Practice Address - Country:US
Practice Address - Phone:973-904-9042
Practice Address - Fax:973-956-0549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8346909Medicaid