NPIMap

Organization Active NPI

Young Adult Institute, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jersey City, NJ
National Provider Identifier
1023585700
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
YOUNG ADULT INSTITUTE, INC
Practice address
111 Town Square PL Ste 1203
Jersey City, NJ 07310-2784
Phone
(201) 210-8255
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Jodi Mandel
Title
Director, Revenue Management
Phone
(212) 273-6206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

111 Town Square PL Ste 1203
Jersey City, NJ 07310-2784

Mailing address

460 W 34TH St FL 11
New York, NY 10001-2320
Phone (212) 273-6206

National Provider Directory

National Provider Directory
Tax ID family
Dominic J Carbone55 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.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1023585700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W 34TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012320",
            "telephone_number": "212-273-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TOWN SQUARE PL STE 1203",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102784",
            "telephone_number": "201-210-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG ADULT INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "212-273-6206"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.