| Bring Hope | |
|
123 Wanaque Ave Pompton Lakes NJ 07442-2101 | |
| (973) 858-8163 | |
| Not Available |
| Full Name | Bring Hope |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 Wanaque Ave, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Karl D Roman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9738588163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bring Hope Po Box 493 Pompton Lakes NJ 07442-0493 Ph: (973) 858-8163 | Bring Hope 123 Wanaque Ave Pompton Lakes NJ 07442-2101 Ph: (973) 858-8163 |
| NPI Number | 1376165670 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/07/2023 |
| Medicare PECOS PAC ID | 7214343060 |
|---|---|
| Medicare Enrollment ID | O20210303000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376165670 | NPI | - | NPPES |
| Provider Name | Caren Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659677730 PECOS PAC ID: 5496932881 Enrollment ID: I20110613000386 |
| Provider Name | Karl Roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528517372 PECOS PAC ID: 2769898519 Enrollment ID: I20210303001082 |
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