Organization
ADVENT CHRISTIAN HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN A STAGG (EXECUTIVE VICE PRESIDENT/CFO)
(201) 848-5200
Entity
Organization
Contact information
Practice address
139 SOUTH ST, SUITE 102, NEW PROVIDENCE, NJ 07974-1999
(908) 598-9552
(908) 665-9036
Mailing address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5200
(201) 848-5493
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
12/06/2005
Last updated
09/11/2025
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