Ddscnj LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DDSCNJ LLC

Practice address

1100 Cornwall Rd Ste 217
Monmouth Junction, NJ 08852-2441

Phone

(848) 213-5445

Fax

(848) 900-8042

NPI assigned

Feb 7, 2021

Organization subpart

No

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

Authorized official

Name

Michel Aetia

Title

Administrator

Phone

(732) 688-7854

Specialties & licenses 1

Addresses

Other names 1

• Developmental Disabilities Support Coordination of NJ Doing business as

Locations

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1003408402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CORNWALL RD STE 217",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522441",
            "telephone_number": "848-213-5445",
            "fax_number": "848-900-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CORNWALL RD STE 217",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522441",
            "telephone_number": "848-213-5445",
            "fax_number": "848-900-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDSCNJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "AETIA",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-688-7854"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Developmental Disabilities Support Coordination of NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Monmouth Junction, NJ
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.