Provider Demographics
NPI:1740493410
Name:THE ARC OF BERGEN AND PASSAIC COUNTIES, INC.
Entity type:Organization
Organization Name:THE ARC OF BERGEN AND PASSAIC COUNTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PESCATORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-343-0322
Mailing Address - Street 1:223 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-7402
Mailing Address - Country:US
Mailing Address - Phone:201-343-0322
Mailing Address - Fax:201-343-0401
Practice Address - Street 1:55 BURLINGTON RD
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-2539
Practice Address - Country:US
Practice Address - Phone:201-343-0322
Practice Address - Fax:201-343-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8901902Medicaid