Challenge Program of New Jersey Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

22583 Issued in NJ

Legal business name

CHALLENGE PROGRAM OF NEW JERSEY INC

Practice address

152 Market St
Suite 200
Paterson, NJ 07505-1724

Phone

(973) 345-9100

Fax

(973) 345-9110

NPI assigned

Apr 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Thompson, C.A.S.A.C.

Title

Administrative Director

Phone

(973) 345-9100

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Challenge Program of New Jersey Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Challenge Programs of NJ

  • Clinic/Center
  • Paterson, NJ
  • NPI 1154583961
  NPD tax ID
• The Challenge Program of NJ

  • Clinic/Center
  • Paterson, NJ
  • NPI 1699937409
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1003030495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COLT ST",
            "address_2": "SUITE 400",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051401",
            "telephone_number": "973-345-9100",
            "fax_number": "973-345-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MARKET ST",
            "address_2": "SUITE 200",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051724",
            "telephone_number": "973-345-9100",
            "fax_number": "973-345-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALLENGE PROGRAM OF NEW JERSEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "973-345-9100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.A.S.A.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "22583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8102503",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7639309",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7512503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cerebral Palsy of North Jersey
• Cerebral Palsy of North Jersey
• Certus Healthcare Providers LLC
• Lorena Cespedes
• Matthew Chalfin, MD
• Challenge Programs of NJ
• Ronald Challita, MD
• Lisa M Chamberlain, P.T.
• Bernard PO-Fu Chang, MD
• Tamisha Z Charles-Cacho, PHARMD

• Clinic/Center in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.