Provider Demographics
NPI:1396303806
Name:JEWISH UNION FOUNDATION OF NEW JERSEY INC.
Entity type:Organization
Organization Name:JEWISH UNION FOUNDATION OF NEW JERSEY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:GOURDJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-613-8104
Mailing Address - Street 1:259 CEDAR LANE
Mailing Address - Street 2:
Mailing Address - City:TEANICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-5406
Mailing Address - Country:US
Mailing Address - Phone:201-613-2435
Mailing Address - Fax:
Practice Address - Street 1:259 CEDAR LANE
Practice Address - Street 2:
Practice Address - City:TEANICK
Practice Address - State:NJ
Practice Address - Zip Code:07666-5406
Practice Address - Country:US
Practice Address - Phone:201-613-2435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health