Pennreach

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PENNREACH

Practice address

30B Gloria Robinson CT
Jersey City, NJ 07306-7042

Phone

(215) 475-2401

NPI assigned

Aug 13, 2018

Organization subpart

No

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

Authorized official

Name

Pauline Bailo

Title

Director

Phone

(215) 475-2401

Specialties & licenses 1

Addresses

Tax ID family

Pennreach87 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

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

• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Long Branch, NJ
  • NPI 1003320409
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Edison, NJ
  • NPI 1003425398
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Long Branch, NJ
  • NPI 1013421411
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Allentown, NJ
  • NPI 1043724545
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Lee, NJ
  • NPI 1053966986
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Edison, NJ
  • NPI 1063030948
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Woodbridge, NJ
  • NPI 1063066470
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Aberdeen, NJ
  • NPI 1063991768
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Lee, NJ
  • NPI 1083269211
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Allentown, NJ
  • NPI 1093666729
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Metuchen, NJ
  • NPI 1104780303
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bordentown, NJ
  • NPI 1124532692
  NPD tax ID

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1043799893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30B GLORIA ROBINSON CT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073067042",
            "telephone_number": "215-475-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 B Wilmont Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "07306",
            "country_code": "US",
            "telephone_number": "215-475-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENNREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "BAILO",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-475-2401"
    },
    "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": []
}

• Matthew Peltz
• Carissa Pelzel, FNP
• Krishna C Pendem
• Kelly Anne Pender, LMT
• Jordan Delynn Pendleton
• Pennreach
• Pennreach
• People 2 People
• Peter A. Peregrin, P.A.
• Santusht A Perera, M.D.

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

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