NPIMap

Organization Active NPI

Daytop Village of New Jersey, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Manahawkin, NJ
National Provider Identifier
1043719297
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2000589 Issued in NJ
Legal business name
DAYTOP VILLAGE OF NEW JERSEY, INC.
Practice address
399 N Main St Unit 1
Manahawkin, NJ 08050-3069
Phone
(732) 875-1090
Fax
(732) 875-1091
NPI assigned
Feb 2, 2018
Last updated
Feb 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Janet Marie Sosely
Title
Ar Manager
Phone
(862) 260-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000589 NJ Primary

Addresses

Primary practice location

399 N Main St Unit 1
Manahawkin, NJ 08050-3069

Mailing address

PO Box 310
Mendham, NJ 07945-0310
Phone (862) 260-9460

Other identifiers 1

IdentifierTypeStateIssuer
0493627MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Daytop Village of New Jersey Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1043719297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079450310",
            "telephone_number": "862-260-9460",
            "fax_number": "862-260-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 N MAIN ST UNIT 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503069",
            "telephone_number": "732-875-1090",
            "fax_number": "732-875-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTOP VILLAGE OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "SOSELY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "862-260-9460"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493627",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.