NPIMap

Organization Active NPI

The Arc of Monmouth, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Tinton Falls, NJ
National Provider Identifier
1033629159
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
SA2137 Issued in NJ
Legal business name
THE ARC OF MONMOUTH, INC
Practice address
1200 Wayside Road Apt 103
Wayside Oaks
Tinton Falls, NJ 07712
Phone
(732) 686-1520
Fax
(732) 686-1571
NPI assigned
Oct 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Robert Angel
Title
Executive Director
Phone
(732) 493-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X SA2137 NJ Primary

Addresses

Primary practice location

1200 Wayside Road Apt 103
Wayside Oaks
Tinton Falls, NJ 07712

Mailing address

1158 Wayside Road
Tinton Falls, NJ 07712
Phone (732) 493-1919

Other identifiers 1

IdentifierTypeStateIssuer
0462985MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Monmouth Inc43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1033629159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 WAYSIDE ROAD",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-493-1919",
            "fax_number": "732-493-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WAYSIDE ROAD APT 103",
            "address_2": "WAYSIDE OAKS",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-686-1520",
            "fax_number": "732-686-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF MONMOUTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-493-1919"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "SA2137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0462985",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.