CEREBRAL PALSY OF NORTH JERSEY (NPI# 1962868521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962868521 |
Entity Type | Organization |
Organization Name | CEREBRAL PALSY OF NORTH JERSEY |
Practice Address |
193 Hunterdon St Newark NJ 07103-2685 |
Mailing Address |
220 S Orange Ave Suite 300 Livingston NJ 07039-5804 |
Practice Telephone | 9732420654 |
Practice Fax Number | 9732422262 |
Mailing Telephone | 9737639900 |
Mailing Fax Number | 9737639905 |
Enumeration Date | 2016-01-12 |
Last Update Date | 2017-08-04 |
Authorized Official Name | MR. RICK BORNSTEIN (CFO) |
Authorized Official Telephone | 9738218107 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
N | 343800000X | Secured Medical Transport (VAN) | Transportation Services | ||
N | 385H00000X | Respite Care | Respite Care Facility | ||
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922526078 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 191 Laurel Ave, Livingston, NJ 07039-1417 | 2017-09-08 |
1801314513 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 23 Oak Ave, West Orange, NJ 07052-2409 | 2017-09-01 |
1598283236 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Roberts Rd, Orange, NJ 07050-3118 | 2017-09-01 |
1598283202 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 691 14th St, Paterson, NJ 07505 | 2017-09-01 |
1881112597 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 670 S Orange Ave, Livingston, NJ 07039-6116 | 2017-09-01 |
1285152991 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1025 Hillside Ave, Plainfield, NJ 07060-3123 | 2017-09-01 |
1336667047 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 265 E Northfield Rd, Livingston, NJ 07039-4811 | 2017-09-01 |
1841718558 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 339 Park Ave Apt 1e, Orange, NJ 07050-2892 | 2017-09-01 |
1669990438 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 203 E 32nd St, Paterson, NJ 07504-1510 | 2017-08-31 |
1568980324 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1022 Field Ave, Plainfield, NJ 07060-2804 | 2017-08-31 |
Street Address |
193 HUNTERDON ST |
City | NEWARK |
State | NJ |
Zip Code | 07103-2685 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
Find all providers in zip 07103 |
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 |
---|---|---|---|---|
1639642903 | St. Therese Ministry and Sabbath School | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19 Tillinghast St, Newark, NJ 07108-1718 | 2019-01-09 |
1346379484 | Rockwood | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5502 Vicky Dr, Newark, DE 19702-8115 | 2007-03-05 |
1083743678 | Pioneer House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 413 Salem Church Rd, Newark, DE 19702-1452 | 2007-03-02 |
1558703181 | Wayne Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 150 Van Buren St, Newark, NY 14513-1238 | 2013-07-24 |
1144509159 | Nikel S Myrick | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 784 Clinton Ave, Suite 3, Newark, NJ 07108-1045 | 2011-08-08 |
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 |
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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.