Active NPI
Unity for Developmental Disabilities
- Community/Behavioral Health Agency
- Union, NJ
National Provider Identifier
1043787880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Disabilities
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Phillipsburg, NJ
- NPI 1205353448
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.