MEDICARE: SUSSEX COUNTY DIVISION OF SOCIAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083821268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSSEX COUNTY DIVISION OF SOCIAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 218
Second Line	:
City	:	NEWTON
State	:	NJ
Zip	:	07860-0218
Country	:	US
Telephone Number	:	973-383-3600
Fax Number	:	973-383-3627

Provider Business Practice Location Address
First Line	:	83 SPRING ST
Second Line	:	SUITE 203
City	:	NEWTON
State	:	NJ
Zip	:	07860-2080
Country	:	US
Telephone Number	:	973-383-3600
Fax Number	:	973-383-3627

Authorized Official
Title or Position	:	FISCAL SUPERVISOR
Name	:	MRS. JUDITH VANDERPLOEG
Credential	:
Telephone Number	:	973-383-3600

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	08/22/2020

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Directions to “SUSSEX COUNTY DIVISION OF SOCIAL SERVICES ” Practice Location

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