STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL (NPI# 1255375929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255375929 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL |
| Other Organization Name | NEW LISBON DEVELOPMENTAL CENTER |
| Practice Address |
Rte 72 East New Lisbon NJ 08064-0130 |
| Mailing Address |
Hwy 72 East New Lisbon NJ 08064-0130 |
| Practice Telephone | 6098944001 |
| Practice Fax Number | 6097261293 |
| Mailing Telephone | 6098944001 |
| Mailing Fax Number | 6097261293 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-10-04 |
| Authorized Official Name | MRS. JANENE M HAWK (ASSISTANT BUSINESS MANAGER) |
| Authorized Official Telephone | 6098944001 |
| Authorized Official Credential | MASTERS IN MGMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4467001 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE BILLING GROUP | 528585 | 01 |
| Other Name | Type Code |
|---|---|
| New Lisbon Developmental Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487680294 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1275 Rahway Avenue, Avenel, NJ 07095-0189 | 2006-06-23 |
| 1811931504 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 40 Pittstown Rd, Clinton, NJ 08809-1209 | 2006-06-15 |
| 1588607725 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1676 E Landis Ave, Vineland, NJ 08362-1513 | 2006-06-14 |
| 1225077290 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 275 Greenbrook Rd, Green Brook, NJ 08812-2223 | 2006-06-05 |
| 1922046903 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 169 Minnisink Rd, Totowa, NJ 07512-1803 | 2006-06-03 |
| 1982642641 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 | 2006-06-03 |
| 1356734271 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 275 Greenbrook Rd, Green Brook, NJ 08812-2223 | 2015-03-17 |
| 1528239274 | State of New Jersey Omb Centralized Payroll | Skilled Nursing Facility | 132 Evergreen Rd, Edison, NJ 08837-2484 | 2008-03-20 |
| 1629155502 | State of New Jersey Omb Centralized Payroll | Psychiatric Hospital | 301 Spring Garden Rd, Hammonton, NJ 08037-2516 | 2006-10-31 |
| 1336221878 | State of New Jersey Omb Centralized Payroll | Psychiatric Hospital | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2006-10-20 |
| Street Address |
RTE 72 EAST |
| City | NEW LISBON |
| State | NJ |
| Zip Code | 08064-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275919300 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Employee Lane, New Lisbon, NJ 08064 | 2015-07-30 |
| 1801271572 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 Employee Lane, New Lisbon, NJ 08064 | 2015-07-23 |
| 1104205574 | Partners Pharmacy LLC | Pharmacy | 104 Route 72, New Lisbon, NJ 08064 | 2015-05-19 |
| 1306052733 | Post House-county of Burlington | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Road, New Lisbon, NJ 08064 | 2007-05-15 |
| 1801977533 | Essam El-harazy | Internal Medicine | Nldc Route 72, New Lisbon, NJ 08064 | 2006-10-18 |
| 1659460509 | Sangeeta Buddala | Internal Medicine | Rt. 72 East, New Lisbon Developmental Center, New Lisbon, NJ 08064 | 2006-10-11 |
| 1801980008 | Prince G Kottiath | Internal Medicine | Route 72, New Lisbon Developmental Center, Health Services, New Lisbon, NJ 08064 | 2006-10-03 |
| 1770688038 | Keith James Keefer | Family Medicine | Rt 72 E, New Lisbon, NJ 08064 | 2006-09-13 |
| 1932172962 | County of Burlington | Psychiatric Hospital | 600 Pemberton-browns Mills Road, New Lisbon, NJ 08064 | 2006-02-09 |
| 1588900658 | Neil Benson | Dentist | Route 72, New Lisbon Developmental Center, Attn Dental Department, New Lisbon, NJ 08064 | 2012-12-18 |
| Find all providers in zip 08064 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508979 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd # B2-01, Lumberton, NJ 08048-3162 | 2020-11-05 |
| 1508467556 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd Apt A2-10, Lumberton, NJ 08048-3180 | 2020-11-05 |
| 1629684451 | Reed Next, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Avalon Dr Unit 3104, Wood Ridge, NJ 07075-1063 | 2020-09-17 |
| 1558971184 | Fordham-lewis Consulting, L.L.C. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 370 Clinton Ave, Wyckoff, NJ 07481-1939 | 2020-08-07 |
| 1649889668 | Options Imagined A Nj Nonprofit Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2467 State Route 10 Bldg 18-1a, Morris Plains, NJ 07950-1318 | 2020-07-27 |
| 1609405661 | New Horizons In Autism, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 718 Vivian Dr, Toms River, NJ 08753-5474 | 2020-04-02 |
| 1588299390 | Developmental Disability Awareness With Love (ddawl) | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2 Stiles Ln, Montville, NJ 07045-9424 | 2020-03-12 |
| 1265065981 | Olusina Oladipo Coker | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 424 Emma Dr, Toms River, NJ 08755-6412 | 2020-02-20 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1821638180 | Woods Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 321 Overbrook Ave, Glassboro, NJ 08028-2029 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW LISBON |
| Zip Code | 08064 |
Please comment or provide details below to improve the information on STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL.
| 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.