EASTER SEALS NEW JERSEY


Address: 828 Blackwood Clementon Road, Chateau Ridge Apts, #134 & 137, Pine Hill, NJ 08021
Phone: 8566272808

EASTER SEALS NEW JERSEY (NPI# 1033599881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033599881
Entity Type Organization
Organization Name EASTER SEALS NEW JERSEY
Other Organization Name ESNJ - PINE HILL GH (S)
Practice Address 828 Blackwood Clementon Road
Chateau Ridge Apts, #134 & 137
Pine Hill
NJ 08021
Mailing Address 25 Kennedy Blvd
Suite 600
East Brunswick
NJ 08816-1259
Practice Telephone 8566272808
Practice Fax Number 8563095674
Mailing Telephone 7322576662
Mailing Fax Number 7322577373
Enumeration Date 2015-06-08
Last Update Date 2015-06-08
Authorized Official Name MR. BRIAN J FITZGERALD (PRESIDENT)
Authorized Official Telephone 7322576662
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
ESNJ - Pine Hill GH (S) Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073993721 Easter Seals New Jersey Community/Behavioral Health 1304 Route 47; Unit Z, Village Shoppes At Rio Grande, Rio Grande, NJ 08242 2015-06-08
1578943221 Easter Seals New Jersey Community/Behavioral Health 1200 River Road; Suite 3e, Cross River Mill, Lakewood, NJ 08701 2015-06-08
1912387663 Easter Seals New Jersey Community/Behavioral Health 1610 Route 35 South; Suite 16, Orchard Plaza, Oakhurst, NJ 07755 2015-06-08
1326428079 Easter Seals New Jersey Community/Behavioral Health 3635 Quackerbridge Rd, Ste 10, University Office Plaza, Hamilton, NJ 08619 2015-06-08
1679953426 Easter Seals New Jersey Community/Behavioral Health 15 Manchester Aveenue; Unit 10, Oakfield Plaza, Forked River, NJ 08731 2015-06-08
1679953533 Easter Seals New Jersey Community/Behavioral Health 3 Harpers Ferry Rd, Toms River, NJ 08753-2908 2015-06-05
1265812200 Easter Seals New Jersey Community/Behavioral Health 1617 6th Ave, Toms River, NJ 08757-2809 2015-06-04
1487034450 Easter Seals New Jersey Community/Behavioral Health 535 Tilton Rd, Northfield, NJ 08225-1217 2015-06-04
1073993036 Easter Seals New Jersey Community/Behavioral Health 9 Terminal Rd, New Brunswick, NJ 08901-3615 2015-06-04
1427438399 Easter Seals New Jersey Community/Behavioral Health 1841b Route 35, South Amboy, NJ 08879-2525 2015-06-04

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities EASTER SEALS NEW JERSEY 25 Kennedy Blvd Ste 600, East Brunswick, NJ 08816-1262

Office Location

Street Address 828 BLACKWOOD CLEMENTON ROAD
CHATEAU RIDGE APTS, #134 & 137
City PINE HILL
State NJ
Zip Code 08021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306226154 Easter Seals New Jersey Community/Behavioral Health 828 Blackwood Clementon Road, Chateau Ridge Apts, #i 174 & 177, Pine Hill, NJ 08021 2015-06-08
1699155440 Easter Seals New Jersey Community/Behavioral Health 828 Blackwood Clementon Road, Chateau Ridge Apts, #134 & 137, Pine Hill, NJ 08021 2015-06-08
1669852315 Easter Seals New Jersey Community/Behavioral Health 828 Blackwood Clementon Road, Chateau Ridge Apts, #i 174 & 177, Pine Hill, NJ 08021 2015-06-08

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1871007286 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 43 Park Boulevard, Clementon, NJ 08021 2017-11-21
1639697444 Oaks Integrated Care Clinic/Center 1611 Hinder La, Clemmenton, NJ 08021 2017-08-31
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1669996468 Arc of Camden County - Heather Sa Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 2017-08-02
1881118610 Arc of Camden County- Millbridge Supported Living Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 2017-08-02
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104378165 Support Services of America Inc. Community/Behavioral Health 35 Congress Rd, Pine Hill, NJ 08021-6533 2016-10-25
1457854226 Things To Consider Counseling Services, LLC Community/Behavioral Health 521 Erial Rd, Pine Hill, NJ 08021-6301 2018-03-17
1306226154 Easter Seals New Jersey Community/Behavioral Health 828 Blackwood Clementon Road, Chateau Ridge Apts, #i 174 & 177, Pine Hill, NJ 08021 2015-06-08
1699155440 Easter Seals New Jersey Community/Behavioral Health 828 Blackwood Clementon Road, Chateau Ridge Apts, #134 & 137, Pine Hill, NJ 08021 2015-06-08
1669852315 Easter Seals New Jersey Community/Behavioral Health 828 Blackwood Clementon Road, Chateau Ridge Apts, #i 174 & 177, Pine Hill, NJ 08021 2015-06-08

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1528670619 North Jersey Friendship House Inc Community/Behavioral Health 45 Urban Club Rd, Wayne, NJ 07470-2000 2020-08-19
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1487266839 Shore Integrated Counseling LLC Community/Behavioral Health 1010 State Route 71 Ste 2a, Spring Lake, NJ 07762-3223 2020-08-18
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Competitor

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City PINE HILL
Zip Code 08021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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