ELWYN NEW JERSEY (NPI# 1245791532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245791532 |
| Entity Type | Organization |
| Organization Name | ELWYN NEW JERSEY |
| Other Organization Name | WHIG LANE |
| Practice Address |
383 Whig Lane Rd Pilesgrove NJ 08098-3217 |
| Mailing Address |
228 W Landis Ave Ste 302 Vineland NJ 08360-8109 |
| Practice Telephone | 8567945300 |
| Mailing Telephone | 8567945300 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | MR. HUSAM ABDALLAH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8567945300 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELWYN NEW JERSEY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| WHIG LANE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689236200 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3239 Glassboro Cross Keys Rd, Williamstown, NJ 08094-3374 | 2019-07-03 |
| 1457910002 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Williamson Ln, Mullica Hill, NJ 08062-4409 | 2019-06-07 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1245798297 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Fox Haven Ln, Mullica Hill, NJ 08062-9602 | 2019-03-08 |
| 1770041790 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1765 Country Club Dr, Cherry Hill, NJ 08003-3364 | 2019-03-08 |
| 1518421684 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Spruce St, Glassboro, NJ 08028-3346 | 2019-01-23 |
| 1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
| 1932693959 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 417 Franklin Rd, Glassboro, NJ 08028-1527 | 2018-06-22 |
| 1700375029 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Trimmel Ave, Franklinville, NJ 08322-2264 | 2018-05-02 |
| 1306364773 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2404 4th Road, Folsom, NJ 08037 | 2017-09-06 |
| Street Address |
383 WHIG LANE RD |
| City | PILESGROVE |
| State | NJ |
| Zip Code | 08098-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871141309 | Sidra Batool Kazmi | Pharmacist | 865 Nj-45, Pilesgrove, NJ 08098 | 2019-08-28 |
| 1679072631 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Woodstown-alloway Rd., Apt. 105, Woodstown, NJ 08098 | 2018-02-06 |
| 1265989180 | Sarah V. Jones | Registered Nurse | 435 Swedesboro Road, Pilesgrove, NJ 08098 | 2016-09-08 |
| 1265894646 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1356 Kings Hwy, Pilesgrove, NJ 08098 | 2016-03-24 |
| 1801279534 | Bancroft | Clinic/Center | 6 Commissioner's Pike, Woodstown, NJ 08098 | 2015-06-30 |
| 1144494600 | John Richard Castiglioni | Emergency Medicine | 50 Forsythia Lane, Pilesgrove, NJ 08098 | 2008-04-16 |
| 1437268190 | Lisa Gambino | Dentist | 4 West Maple St, Woodstown, NJ 08098 | 2006-08-29 |
| 1902852999 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 857 Route 45, Pilesgrove, NJ 08098 | 2006-05-25 |
| 1306375696 | Kelly Boskey | Physical Therapist | 84 E Grant St, Ste 3, Woodstown, NJ 08098 | 2017-06-08 |
| 1902016470 | Andrew S.black Dpm Pa | Podiatrist | 303 North Main Street, Woodstown, NJ 08098 | 2007-05-23 |
| Find all providers in zip 08098 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050987 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Two Penny Run W, Pilesgrove, NJ 08098-2643 | 2018-04-11 |
| 1467959973 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 241 Woodstown Daretown Rd, Pilesgrove, NJ 08098-3345 | 2018-04-11 |
| 1295198778 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1335 Kings Hwy, Pilesgrove, NJ 08098-2707 | 2016-04-01 |
| 1265894646 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1356 Kings Hwy, Pilesgrove, NJ 08098 | 2016-03-24 |
| 1255711156 | Rem New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 31 Buttonwood Dr, Pilesgrove, NJ 08098-2437 | 2015-06-05 |
| 1447630405 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 789 Route 45, Pilesgrove, NJ 08098-2806 | 2015-06-04 |
| 1104206192 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 230 Marlton Rd, Pilesgrove, NJ 08098-2718 | 2015-06-04 |
| 1801435466 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 241 Woodstown Daretown Rd, Pilesgrove, NJ 08098-3345 | 2019-12-31 |
| 1265099717 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 789 Route 45, Pilesgrove, NJ 08098-2806 | 2019-05-21 |
| 1558928002 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1356 Kings Hwy, Pilesgrove, NJ 08098-2519 | 2019-05-21 |
| Find all providers in PILESGROVE | ||||
| City | PILESGROVE |
| Zip Code | 08098 |
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| 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.