Provider Demographics
NPI:1700538683
Name:NAZ GROUP OF NEW JERSEY LLC
Entity Type:Organization
Organization Name:NAZ GROUP OF NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TOREN
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:215-990-5802
Mailing Address - Street 1:PO BOX 416
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-0416
Mailing Address - Country:US
Mailing Address - Phone:215-990-5802
Mailing Address - Fax:215-953-0321
Practice Address - Street 1:111 S 16TH AVE APT 613
Practice Address - Street 2:
Practice Address - City:LONGPORT
Practice Address - State:NJ
Practice Address - Zip Code:08403-1052
Practice Address - Country:US
Practice Address - Phone:215-990-5802
Practice Address - Fax:215-953-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-22
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Single Specialty