NPIMap

Organization Active NPI

Broadstep Academy-New Jersey, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Newton, NJ
National Provider Identifier
1043088842
Registry record updated Dec 12, 2023
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
BROADSTEP ACADEMY-NEW JERSEY, INC.
Practice address
357 Route 94
Newton, NJ 07860-5136
Phone
(973) 579-3700
NPI assigned
Dec 12, 2023
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BROADSTEP ACADEMY-NEW JERSEY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Patty Bates
Title
Idd Regional Business Manager
Phone
(973) 579-3700

Specialties & licenses 1

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

Addresses

Primary practice location

357 Route 94
Newton, NJ 07860-5136

Mailing address

8 Wilson Dr
Sparta, NJ 07871-3400
Phone (973) 579-3700

National Provider Directory

National Provider Directory
Tax ID family
Willowglen Academy-NJ Inc60 organizations share this tax ID, including this one
Part of
Willowglen Academy-NJ Inc

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1043088842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILSON DR",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713400",
            "telephone_number": "973-579-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 ROUTE 94",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078605136",
            "telephone_number": "973-579-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADSTEP ACADEMY-NEW JERSEY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROADSTEP ACADEMY-NEW JERSEY, INC.",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "IDD REGIONAL BUSINESS MANAGER",
        "authorized_official_telephone_number": "973-579-3700"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.