Healthcare Provider Details

I. General information

NPI: 1154832087
Provider Name (Legal Business Name): JEWISH FAMILY SERVICE AGENCY OF CENTRAL JERSEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 WESTFIELD AVE
ELIZABETH NJ
07208-1325
US

IV. Provider business mailing address

655 WESTFIELD AVE
ELIZABETH NJ
07208-1325
US

V. Phone/Fax

Practice location:
  • Phone: 908-352-8375
  • Fax: 908-352-8858
Mailing address:
  • Phone: 908-352-8375
  • Fax: 908-352-8858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number100610104
License Number StateNJ

VIII. Authorized Official

Name: LAUREN LAUDATI
Title or Position: LCSW
Credential:
Phone: 908-352-8375