MEDICARE: FAMILY SERVICE LEAGUE,INC.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1881855542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY SERVICE LEAGUE,INC.

Provider Business Mailing Address
First Line	:	440 FRANKLIN ST STE 200
Second Line	:
City	:	BLOOMFIELD
State	:	NJ
Zip	:	07003-4379
Country	:	US
Telephone Number	:	973-746-0800
Fax Number	:	973-746-2822

Provider Business Practice Location Address
First Line	:	440 FRANKLIN ST STE 200
Second Line	:
City	:	BLOOMFIELD
State	:	NJ
Zip	:	07003-4379
Country	:	US
Telephone Number	:	973-746-0800
Fax Number	:	973-746-2822

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	NUR S. KALYONCU
Credential	:
Telephone Number	:	973-746-0800

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	04/07/2026

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