ASSOCIATION FOR THE MULTIPLE IMPAIRED BLIND, INC. (NPI# 1417394388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417394388 |
| Entity Type | Organization |
| Organization Name | ASSOCIATION FOR THE MULTIPLE IMPAIRED BLIND, INC. |
| Other Organization Name | AMIB |
| Practice Address |
719 Revere Dr Brick NJ 08724-1138 |
| Mailing Address |
35 Beaverson Blvd Bldg 13 Brick NJ 08723-7812 |
| Practice Telephone | 7322620082 |
| Practice Fax Number | 7322629106 |
| Mailing Telephone | 7322620082 |
| Mailing Fax Number | 7322629106 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |
| Authorized Official Name | MR. AARON SOTO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7322620082 |
| Authorized Official Credential | MS |
| 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 | NJ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| AMIB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760871172 | Association for The Multiple Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 Hampton Dr, Freehold, NJ 07728-2755 | 2015-01-22 |
| 1952790800 | Association for The Multiple Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Almar Ave, Tinton Falls, NJ 07753-7551 | 2015-01-15 |
| 1891132577 | Association for The Multiple Impaired Blind, Inc. | Day Training, Developmentally Disabled Services | 721 Midland Ave, Pine Beach, NJ 08741-1712 | 2013-06-04 |
| 1083051973 | Association for The Multiple Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Adams Pl, Freehold, NJ 07728-3326 | 2013-05-31 |
| 1043657935 | Association for The Multiple Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Maple Ln, Howell, NJ 07731-1347 | 2013-05-31 |
| 1932546892 | Association for The Multiple Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Emerald Ct, Lanoka Harbor, NJ 08734-2138 | 2013-05-31 |
| 1750728622 | Association for The Multiple Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 455 Muller Ave, Bayville, NJ 08721-2418 | 2013-05-31 |
| 1104263094 | Association for The Multiple Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 515 Merion Ave, Pine Beach, NJ 08741-1605 | 2013-05-31 |
| 1811334790 | Association for The Multiple Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1185 Cox Cro Rd, Toms River, NJ 08755-1307 | 2013-05-31 |
| 1972940864 | Association for The Multiple Impaired Blind, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2386 Ramshorn Dr, Manasquan, NJ 08736-1416 | 2013-05-31 |
| Street Address |
719 REVERE DR |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-1138 |
| 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 |
| 1386152825 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 988 Sids Ct, Brick, NJ 08724-7173 | 2018-01-18 |
| 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 |
| 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.