Provider Demographics
NPI:1366553414
Name:JEWISH FEDERATION OF SOUTHERN NJ
Entity type:Organization
Organization Name:JEWISH FEDERATION OF SOUTHERN NJ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:856-424-1333
Mailing Address - Street 1:1301 SPRINGDALE RD
Mailing Address - Street 2:SUITE #150
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2763
Mailing Address - Country:US
Mailing Address - Phone:856-424-1333
Mailing Address - Fax:856-424-7384
Practice Address - Street 1:1301 SPRINGDALE RD
Practice Address - Street 2:SUITE #150
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2763
Practice Address - Country:US
Practice Address - Phone:856-424-1333
Practice Address - Fax:856-424-7384
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEWISH FEDERATION OF SOUTHERN NJ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ672092Medicare ID - Type UnspecifiedPROVIDER #