Healthcare Provider Details

I. General information

NPI: 1588528061
Provider Name (Legal Business Name): JEWISH FEDERATION OF SOUTHERN NJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 SPRINGDALE RD STE 200
CHERRY HILL NJ
08003-2763
US

IV. Provider business mailing address

1301 SPRINGDALE RD STE 200
CHERRY HILL NJ
08003-2763
US

V. Phone/Fax

Practice location:
  • Phone: 856-673-2599
  • Fax:
Mailing address:
  • Phone: 856-673-2599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADAM ROTH
Title or Position: REGIONAL DIR. DISABILITY SERVICES
Credential:
Phone: 856-673-2599