Healthcare Provider Details

I. General information

NPI: 1285568360
Provider Name (Legal Business Name): HOPE & HEALING MATTERS OF THE HEART
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 COMMERCE ST STE 529
NEWARK NJ
07102-4005
US

IV. Provider business mailing address

12 HAWTHORNE AVE
EAST ORANGE NJ
07018-4003
US

V. Phone/Fax

Practice location:
  • Phone: 973-592-8243
  • Fax:
Mailing address:
  • Phone: 973-592-8243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ASIA BASH
Title or Position: CEO
Credential: LCSW
Phone: 201-680-8652