Organization Active NPI

Special Parent Advocacy Group a NJ Non Profit Corporation

  • Respite Care
  • Hamilton, NJ
National Provider Identifier
1033650411
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SPECIAL PARENT ADVOCACY GROUP A NJ NON PROFIT CORPORATION
Practice address
1030 Old Trenton Rd
Hamilton, NJ 08690-1230
Phone
(201) 509-8961
Fax
(609) 642-2398
NPI assigned
Mar 17, 2017
Last updated
May 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Mrs. Nicole Ann Whitfield
Title
Executive Director
Phone
(201) 509-8961

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Respite Care 385H00000X NU Primary

Addresses

Primary practice location

1030 Old Trenton Rd
Hamilton, NJ 08690-1230

Mailing address

1 US Highway 46 W
Suite 105
Elmwood Park, NJ 07407-0220
Phone (201) 509-8961

Other practice location 1

685 E 34th St
Paterson, NJ 07513-1805
Phone (201) 509-8961

Other identifiers 1

IdentifierTypeStateIssuer
1922421593MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Special Parent Advocacy Group a NJ Non Profit Corporation6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1 US Highway 46
Ste 105
Elmwood Park, NJ 07407

1030 Old Trenton Rd
Hamilton, NJ 08690
Phone (201) 509-8961

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1033650411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 US HIGHWAY 46 W",
            "address_2": "SUITE 105",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074070220",
            "telephone_number": "201-509-8961",
            "fax_number": "609-642-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 OLD TRENTON RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901230",
            "telephone_number": "201-509-8961",
            "fax_number": "609-642-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 E 34th St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075131805",
            "country_code": "US",
            "telephone_number": "201-509-8961",
            "fax_number": "609-642-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIAL PARENT ADVOCACY GROUP A NJ NON PROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-509-8961",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922421593",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.