Healthcare Provider Details

I. General information

NPI: 1235075151
Provider Name (Legal Business Name): NEXT STEP SUPPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 LACEY RD UNIT 4
FORKED RIVER NJ
08731-2448
US

IV. Provider business mailing address

429 LACEY RD UNIT 4
FORKED RIVER NJ
08731-2448
US

V. Phone/Fax

Practice location:
  • Phone: 201-972-6318
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY NARDONE
Title or Position: MANAGER
Credential:
Phone: 201-972-6318