Provider Demographics
NPI:1669066577
Name:NEXUS SUPPORT COORDINATION
Entity type:Organization
Organization Name:NEXUS SUPPORT COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, NCC, ACS
Authorized Official - Phone:201-983-1138
Mailing Address - Street 1:800 KINDERKAMACK RD STE 208N
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1534
Mailing Address - Country:US
Mailing Address - Phone:833-656-3987
Mailing Address - Fax:
Practice Address - Street 1:800 KINDERKAMACK RD STE 208N
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1534
Practice Address - Country:US
Practice Address - Phone:833-656-3987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management