JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED (NPI# 1417482050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417482050 |
| Entity Type | Organization |
| Organization Name | JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED |
| Practice Address |
622 Eagle Rock Ave West Orange NJ 07052-2994 |
| Practice Telephone | 9732727141 |
| Practice Fax Number | 9733252980 |
| Mailing Telephone | 9732727141 |
| Mailing Fax Number | 9733252980 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | MRS. LINDA PRESS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9732727141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1437697596 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437697596 | Jewish Service for The Developmentally Disabled | Occupational Therapist | 270 Pleasant Valley Way, West Orange, NJ 07052-2916 | 2017-02-08 |
| Street Address |
622 EAGLE ROCK AVE |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-2994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083699086 | Brian Calvin Martin | Dentist | 622 Eagle Rock Ave, Suite 105, West Orange, NJ 07052-2994 | 2005-12-13 |
| 1366096570 | Nicholas Hennig | Physical Therapist | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 2019-07-25 |
| 1962983353 | Ricardo Pacheco | Physical Therapist | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 2018-08-24 |
| 1083111991 | Ashley Panowicz | Physical Therapist | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 2018-04-07 |
| 1710486774 | Taylor Pendergast | Occupational Therapist | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 2018-02-06 |
| 1649790833 | Craig Soriano | Physical Therapist | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 2017-06-20 |
| 1295275436 | Amy Weiss | Physical Therapist | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 2017-03-07 |
| 1609310051 | Justine Klein | Physical Therapist | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 2016-12-05 |
| 1053867036 | Nicholas Dalonzo | Physical Therapist | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 2016-08-30 |
| 1154877058 | Mark Robert Cristiano | Physical Therapist | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 2016-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932402906 | Jewish Service for The Developmentally Disabled of Metrowest, Inc. | Day Training, Developmentally Disabled Services | 270 Pleasant Valley Way, West Orange, NJ 07052-2916 | 2010-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568781 | The Njecc | Day Training, Developmentally Disabled Services | 30-34 Okner Pkwy, Livingston, NJ 07039-1649 | 2020-11-04 |
| 1689274284 | Health Focused Living | Day Training, Developmentally Disabled Services | 713 Whalers Dr, Absecon, NJ 08201-2840 | 2020-11-01 |
| 1649877044 | Atlantic Center for Independent Living Inc. | Day Training, Developmentally Disabled Services | 160 S Pitney Rd Ste 3and4, Galloway, NJ 08205-9643 | 2020-10-08 |
| 1427665835 | Golden Years Adult Day Care Center | Day Training, Developmentally Disabled Services | 1225 Mcbride Ave Ste 208, Woodland Park, NJ 07424-3813 | 2020-09-29 |
| 1023624210 | The Arc of Essex County, Inc. | Day Training, Developmentally Disabled Services | 264 Passaic Ave Ste 2, Fairfield, NJ 07004-2531 | 2020-09-22 |
| 1962016436 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 25 Independence Dr, Lumberton, NJ 08048-2231 | 2020-09-02 |
| 1538773270 | All In 2gether LLC | Day Training, Developmentally Disabled Services | 1229 Haddonfield Berlin Rd, Voorhees, NJ 08043-4852 | 2020-09-01 |
| 1366055535 | Lds Partners In Care LLC | Day Training, Developmentally Disabled Services | 60 Nevada St Apt 206, Apt 206, Newark, NJ 07102-2539 | 2020-08-27 |
| 1922610583 | New Horizons In Autism, Inc. | Day Training, Developmentally Disabled Services | 1808 Rte 37 E, Toms River, NJ 08753-8257 | 2020-08-17 |
| 1356952451 | Eden Autism Services | Day Training, Developmentally Disabled Services | 411 Ravens Road, Robbinsville, NJ 08691 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
Please comment or provide details below to improve the information on JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED.
| 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.