Healthcare Provider Details

I. General information

NPI: 1134648637
Provider Name (Legal Business Name): JEWISH FAMILY SERVICE OF ATLANTIC & CAPE MAY COUNTIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 N JEROME AVE
MARGATE CITY NJ
08402-1527
US

IV. Provider business mailing address

607 N JEROME AVE
MARGATE CITY NJ
08402-1527
US

V. Phone/Fax

Practice location:
  • Phone: 609-822-1108
  • Fax: 609-822-8645
Mailing address:
  • Phone: 609-822-1108
  • Fax: 609-822-8645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number401040704
License Number StateNJ

VIII. Authorized Official

Name: ANDREA STEINBERG
Title or Position: CEO
Credential: LCSW
Phone: 609-822-1108