Educational Center for the Disables. N J Non Profit

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EDUCATIONAL CENTER FOR THE DISABLES. N J NON PROFIT

Practice address

512 Union Ave Apt B2
Irvington, NJ 07111-2863

Phone

(862) 588-7352

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Mr. John Awere Webster, MA

Title

Owner

Phone

(862) 588-7352

Specialties & licenses 3

Addresses

Other names 1

• educational center for the Disables NJ Non Profit Doing business as

Locations

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1033735808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E LIVINGSTON AVE STE 5",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 UNION AVE APT B2",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112863",
            "telephone_number": "862-588-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL CENTER FOR THE DISABLES. N J NON PROFIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AWERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-588-7352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "educational center for the Disables NJ Non Profit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.