Provider Demographics
NPI:1770126286
Name:A CARE CONNECTION OF NEW JERSEY, LLC
Entity type:Organization
Organization Name:A CARE CONNECTION OF NEW JERSEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DI SCIASCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-304-4859
Mailing Address - Street 1:272 DUNNS MILL RD # 117
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-4748
Mailing Address - Country:US
Mailing Address - Phone:609-304-4859
Mailing Address - Fax:
Practice Address - Street 1:7 EQUESTRIAN WAY
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08515
Practice Address - Country:US
Practice Address - Phone:609-304-4859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management