NPIMap

Bancroft, a New Jersey Nonprofit Corporation

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Delran, NJ

NPI 1043746746 · NPPES record last updated Nov 6, 2023

Key facts

NPI
1043746746
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
GH2383 (NJ)
Legal business name
BANCROFT, A NEW JERSEY NONPROFIT CORPORATION
Practice address
506 Leon Ave
Delran, NJ 08075
Phone
(800) 774-5516
NPI assigned
May 2, 2017
Organization subpart
No

Authorized official

Name
Jennifer Cripps
Title
Chief Financial Officer
Phone
(856) 348-1196

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Bancroft Neurohealth (249 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH2383 NJ Yes

Addresses

Primary practice location

506 Leon Ave
Delran, NJ 08075

Mailing address

1255 Caldwell Rd
Cherry Hill, NJ 08034-3220
Phone (856) 348-1181

Other names

  • Bancroft-Leon Ave Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 6, 2023.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1043746746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 CALDWELL RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343220",
            "telephone_number": "856-348-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LEON AVE",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "08075",
            "telephone_number": "800-774-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT, A NEW JERSEY NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CRIPPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "856-348-1196"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bancroft-Leon Ave",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bancroft-Leon Ave",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Delran, NJ

All providers in Delran, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.