NPIMap

Organization Active NPI

Spectrum for Living Development, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Teaneck, NJ
National Provider Identifier
1003296393
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Practice address
1200 River Rd
Teaneck, NJ 07666-2014
Phone
(201) 836-3721
NPI assigned
Jun 2, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
William G. Muilenburg
Title
Cfo
Phone
(201) 358-8000

National Provider Directory

National Provider Directory
Tax ID family
Spectrum for Living Development Inc75 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1200 River Rd
Teaneck, NJ 07666
Phone (201) 836-3721

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1200 River Rd
Teaneck, NJ 07666-2014

Mailing address

210 Rivervale Rd
Suite 3
Rivervale, NJ 07675-6281
Phone (201) 358-8000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2020.

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1003296393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 RIVERVALE RD",
            "address_2": "SUITE 3",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756281",
            "telephone_number": "201-358-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIVER RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662014",
            "telephone_number": "201-836-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM FOR LIVING DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "MUILENBURG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-358-8000"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.