Organization Active NPI

Unity for Developmental Disabilities

  • Community/Behavioral Health Agency
  • Union, NJ
National Provider Identifier
1043787880
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNITY FOR DEVELOPMENTAL DISABILITIES
Practice address
2204 Morris Ave Ste L-2
Union, NJ 07083-5918
Phone
(973) 856-4404
Fax
(973) 228-3964
NPI assigned
Oct 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Stephon Tynes
Title
Owner
Phone
(973) 856-4404

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Private Vehicle 347C00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

2204 Morris Ave Ste L-2
Union, NJ 07083-5918

Mailing address

3847 Schenley Ave
Gastonia, NC 28056-6336
Phone (973) 856-4404

National Provider Directory

National Provider Directory
Tax ID family
Unity for Developmental Disabilities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2204 Morris Ave
Ste L2
Union, NJ 07083
Phone (973) 856-4404

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1043787880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3847 SCHENLEY AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280566336",
            "telephone_number": "973-856-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 MORRIS AVE STE L-2",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835918",
            "telephone_number": "973-856-4404",
            "fax_number": "973-228-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY FOR DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "TYNES",
        "authorized_official_first_name": "STEPHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-856-4404"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.