NPIMap

Organization Active NPI

Community Access Unlimitd Inc

  • Community/Behavioral Health Agency
  • Fanwood, NJ
National Provider Identifier
1043914682
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY ACCESS UNLIMITD INC
Practice address
193 Terrill Rd Ste 3
Fanwood, NJ 07023-1058
Phone
(908) 354-3040
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Vanessa Yalakidis
Title
Aed of Ehr Services
Phone
(908) 354-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

193 Terrill Rd Ste 3
Fanwood, NJ 07023-1058

Mailing address

80 W Grand St
Elizabeth, NJ 07202-1471
Phone (908) 354-3040

Other identifiers 1

IdentifierTypeStateIssuer
0374725MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Community Access Unlimited149 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1043914682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W GRAND ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021471",
            "telephone_number": "908-354-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 TERRILL RD STE 3",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231058",
            "telephone_number": "908-354-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACCESS UNLIMITD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "YALAKIDIS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "AED OF EHR SERVICES",
        "authorized_official_telephone_number": "908-354-3040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0374725",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.