No
| Contacts | Authorizing Official | Update | Profile Change Request | Friedman, David
CEO
Lakewood Resource and Referral Center
7323642144-211 | Friedman, David
CEO
Lakewood Resource and Referral Center
7323642144-5211 | 4/10/2025 12:50 PM |
| Contacts | Signed By | Update | Profile Change Request | Friedman, David
CEO
Lakewood Resource and Referral Center
7323642144-211 | Friedman, David
CEO
Lakewood Resource and Referral Center
7323642144-5211 | 4/10/2025 12:50 PM |
| Details | Last Recertification Date | Update | Recertification | | 2/17/2025 1:35:38 PM | 2/17/2025 1:35 PM |
| Contacts | Primary Contact | Update | Profile Change Request | Werblowsky, Chedva
CCO
Lakewood Resource and Referral Center
7323642144-206 | Werblowsky, Chedva
CCO
Lakewood Resource and Referral Center
7323642144-5206 | 2/11/2025 10:06 AM |
| Details | State | Update | | Approved | Active | 10/1/2024 12:01 AM |
| Contacts | Signed By | Insert | New Registration | | Friedman, David
CEO
Lakewood Resource and Referral Center
7323642144-211 | 7/8/2024 10:46 AM |
| Details | 340B ID | Update | New Registration | | CHC11392-04 | 7/8/2024 10:46 AM |
| Dates | Participating Approval Date | Update | New Registration | | 7/8/2024 10:46:48 AM | 7/8/2024 10:46 AM |
| Details | State | Update | New Registration | Pending | Approved | 7/8/2024 10:46 AM |
| Dates | Signed By Date | Update | New Registration | | 7/4/2024 5:40:32 PM | 7/8/2024 10:46 AM |
| Dates | Start Date | Update | New Registration | | 10/1/2024 12:00:00 AM | 7/8/2024 10:46 AM |
| Addresses | Main Address | Insert | New Registration | |
485 Locust St
Lakewood, NJ 08701-5896 | 7/4/2024 5:40 PM |
| Addresses | Billing Address | Insert | New Registration | | LAKEWOOD RESOURCE AND REFERRAL CENTER INC
1771 Madison Avenue
Lakewood, NJ 08701 | 7/4/2024 5:40 PM |
| Contacts | Primary Contact | Insert | New Registration | | Werblowsky, Chedva
CCO
Lakewood Resource and Referral Center
7323642144-206 | 7/4/2024 5:40 PM |
| Contacts | Authorizing Official | Insert | New Registration | | Friedman, David
CEO
Lakewood Resource and Referral Center
7323642144-211 | 7/4/2024 5:40 PM |
| Details | Assistance Received From Date | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Details | Assistance Received To Date | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Details | Last Recertification Date | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Details | Grant Number | Insert | New Registration | | H80CS12868 | 7/4/2024 5:40 PM |
| Details | 340B ID | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Details | Medicare Provider Number | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Details | Entity Name | Insert | New Registration | | LAKEWOOD RESOURCE & REFERRAL CENTER | 7/4/2024 5:40 PM |
| Details | NOFO Number | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Details | Program Code | Insert | New Registration | | CH | 7/4/2024 5:40 PM |
| Details | Entity Subname | Insert | New Registration | | Belz with address | 7/4/2024 5:40 PM |
| Dates | Participating Approval Date | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Details | State | Insert | New Registration | | Pending | 7/4/2024 5:40 PM |
| Dates | Registration Date | Insert | New Registration | | 7/4/2024 5:40:29 PM | 7/4/2024 5:40 PM |
| Dates | Signed By Date | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Dates | Start Date | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Terminations | Termination Comments | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Terminations | Termination Date | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 7/4/2024 5:40 PM |
| Terminations | Termination Reason | Insert | New Registration | | | 7/4/2024 5:40 PM |