Organization
NORTH JERSEY COMMUNITY RESEARCH INITIATIVE
Active
Organization
NORTH JERSEY COMMUNITY RESEARCH INITIATIVE
Active
Other names
NJCRI
Organization subpart
No
Provider details
NPI number
Authorized official
COREY LYN DESTEFANO (CLINICAL DIRECTOR)
(973) 483-3444
Entity
Organization
Contact information
Practice address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 483-3444
Mailing address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 483-3444
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000633
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0538027
—
NJ
Enumeration date
05/18/2018
Last updated
05/18/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up