DUNGARVIN NEW JERSEY, LLC-KILMER (NPI# 1770939589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770939589 |
| Entity Type | Organization |
| Organization Name | DUNGARVIN NEW JERSEY, LLC-KILMER |
| Practice Address |
311 Kilmer Ct Piscataway NJ 08854 |
| Mailing Address |
1543 State Route 27 Suite 24 Somerset NJ 08873-4015 |
| Practice Telephone | 7324242008 |
| Mailing Telephone | 7324637227 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | MR. TIMOTHY MADDEN (CHAIRMAN OF THE BOARD & CEO) |
| Authorized Official Telephone | 6517895905 |
| Is Organization Subpart | Y |
| Parent Organization Name | DUNGARVIN GROUP, INC. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0494275 | 05 |
| Street Address |
311 KILMER CT |
| City | PISCATAWAY |
| State | NJ |
| Zip Code | 08854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327548 | Sally Ng | Student in an Organized Health Care Education/Training Program | 675 Hoes Lane West, Piscataway, NJ 08854 | 2020-05-16 |
| 1932728870 | Mawaddah Ahmed Mohamed Khalil Alislambouli | Student in an Organized Health Care Education/Training Program | 1701 Quincy Street, Piscataway, NJ 08854 | 2020-04-10 |
| 1457831273 | Lindsay Brooke Gonzalez | Social Worker | Rutgers Day School- Rutgers University Ubhc, 671 Hoes Lane, Piscataway, NJ 08854 | 2018-08-21 |
| 1568941524 | Step Three Support Services, LLC | In Home Supportive Care | 1297 Centennial Ave Ste 5-102, Piscataway, NJ 08854 | 2018-08-10 |
| 1942788252 | Adrienne Wallace | Speech-Language Pathologist | 170 Birchview Dr, Piscataway, NJ 08854 | 2018-07-31 |
| 1215423066 | Eugene Reid | Physical Medicine & Rehabilitation | 250 Old New Brunswick Road, Building 12, Piscataway Township, NJ 08854 | 2018-07-05 |
| 1649768326 | Madhusree Chowdhury | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, 675 Hoes Lane, Piscataway, NJ 08854 | 2018-04-27 |
| 1033635065 | Achieving Goals, LLC | Community Health Worker | 83 Kensington Drive, Piscataway, NJ 08854 | 2017-08-22 |
| 1750801650 | Neil O'connor | Case Manager/Care Coordinator | 151 Centenial Ave, Piscataway, NJ 08854 | 2017-06-21 |
| 1235680240 | Manthan Patel | Pharmacist | 1222 Hanover St, Piscataway, NJ 08854 | 2016-10-14 |
| Find all providers in zip 08854 | ||||
| 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 |
|---|---|---|---|---|
| 1497262596 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1218 Brookside Rd, Piscataway, NJ 08854-5119 | 2018-01-10 |
| 1982121737 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 226 Pleasantview Dr Apt A, Piscataway, NJ 08854-3405 | 2017-08-23 |
| 1780100495 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 74 Old New Brunswick Rd Apt C, Piscataway, NJ 08854-3886 | 2017-08-15 |
| 1205363512 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 Seward Ave, Piscataway, NJ 08854-4233 | 2017-05-17 |
| 1669908240 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 380 Hamilton Blvd, Piscataway, NJ 08854-2813 | 2017-05-03 |
| 1285169342 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1207 Charter St, Piscataway, NJ 08854-3309 | 2017-04-26 |
| 1174979983 | Dungarvin New Jersey, LLC-cedarwood | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1701 Cedarwood Dr, Piscataway, NJ 08854 | 2016-05-11 |
| 1497101331 | Dungarvin New Jersey, LLC-ross Hall | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 68 Ross Hall Blvd N, Piscataway, NJ 08854 | 2016-05-10 |
| 1700267903 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 82 Curtis Ave, Piscataway, NJ 08854-1965 | 2015-06-12 |
| 1487034112 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 27 Brandywine Cir, Piscataway, NJ 08854-2704 | 2015-06-08 |
| Find all providers in PISCATAWAY | ||||
| City | PISCATAWAY |
| Zip Code | 08854 |
Please comment or provide details below to improve the information on DUNGARVIN NEW JERSEY, LLC-KILMER.
| 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.