NJ MENTOR (NPI# 1386152825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386152825 |
| Entity Type | Organization |
| Organization Name | NJ MENTOR |
| Practice Address |
988 Sids Ct Brick NJ 08724-7173 |
| Mailing Address |
80 Cottontail Ln Ste 330 Somerset NJ 08873-1100 |
| Practice Telephone | 7326279890 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Authorized Official Name | EVE ESTRICT (AREA DIRECTOR) |
| Authorized Official Telephone | 7326279890 |
| Is Organization Subpart | N |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831607225 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Bancroft Ln, Willingboro, NJ 08046-3902 | 2018-01-19 |
| 1639687023 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Northampton Dr, Willingboro, NJ 08046-1324 | 2018-01-19 |
| 1942718333 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Hidden Hollow Ln, Sicklerville, NJ 08081-3910 | 2018-01-19 |
| 1659993442 | Nj Mentor | Community/Behavioral Health | 80 Cottontail Ln Ste 330, Somerset, NJ 08873-1100 | 2020-05-14 |
| 1750899290 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 529 S Atlantic Ave, Aberdeen, NJ 07747-2246 | 2018-01-18 |
| 1326208729 | Nj Mentor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-10 |
| 1053570135 | Nj Mentor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-04 |
| Street Address |
988 SIDS CT |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-7173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| 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 |
|---|---|---|---|---|
| 1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
| 1386298610 | The Open Door of New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 175 Chambers Bridge Rd Apt 141, Brick, NJ 08723-3504 | 2019-07-25 |
| 1639723968 | The Open Door of New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 175 Chambers Bridge Rd Apt 142, Brick, NJ 08723-3504 | 2019-07-25 |
| 1316590961 | The Open Door of New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 175 Chambers Bridge Rd Apt 241, Brick, NJ 08723-3505 | 2019-07-23 |
| 1629636741 | Association for The Multipe Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 874 Gregory Dr, Brick, NJ 08723-6208 | 2019-06-04 |
| 1093215782 | Rem New Jersey Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 20th Ave, Brick, NJ 08724-2607 | 2018-02-19 |
| 1891219234 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 Apt 110, Brick, NJ 08724-2583 | 2017-07-27 |
| 1336663814 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 Apt 117, Brick, NJ 08724-2584 | 2017-07-27 |
| 1417471996 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 Apt 119, Brick, NJ 08724-2584 | 2017-07-27 |
| 1962926444 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 Apt 120, Brick, NJ 08724-2584 | 2017-07-27 |
| Find all providers in BRICK | ||||
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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.