Provider Demographics
NPI:1124588496
Name:REED NEXT, INC.
Entity type:Organization
Organization Name:REED NEXT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADULT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:IACOVINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-466-3850
Mailing Address - Street 1:25 POTASH RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-1612
Mailing Address - Country:US
Mailing Address - Phone:201-644-0760
Mailing Address - Fax:
Practice Address - Street 1:1 DEKORTE PARK PLAZA
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071
Practice Address - Country:US
Practice Address - Phone:201-466-3850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0611123Medicaid