Provider Demographics
NPI:1942492905
Name:JUDITH A. HANCOX, INC.
Entity type:Organization
Organization Name:JUDITH A. HANCOX, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANCOX
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, BCETS
Authorized Official - Phone:973-585-4660
Mailing Address - Street 1:9 KRISTEN DR
Mailing Address - Street 2:
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1265
Mailing Address - Country:US
Mailing Address - Phone:973-585-4660
Mailing Address - Fax:973-585-4660
Practice Address - Street 1:9 KRISTEN DR
Practice Address - Street 2:
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1265
Practice Address - Country:US
Practice Address - Phone:973-585-4660
Practice Address - Fax:973-585-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ116634OtherMEDICARE: PTAN
NJ1942492905OtherPHYSICIAN/SUPPLIER GROUP NPI NUMBER
NJ1740404599OtherMEDICARE INDIVIDUAL ID NUMBER
NJ021735OtherMEDICARE PIN