NPIMap

Organization Active NPI

Personalized Independent Living Opporuntities & Training Services

Doing business as P.I.L.O.T. Services

  • Developmentally Disabled Services Day Training Agency
  • Egg Harbor Township, NJ
National Provider Identifier
1063893634
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PERSONALIZED INDEPENDENT LIVING OPPORUNTITIES & TRAINING SERVICES
Doing business as
P.I.L.O.T. Services
Practice address
6638 Delilah Rd Ste C-D
Egg Harbor Township, NJ 08234-5659
Phone
(856) 809-0600
Fax
(856) 809-0500
NPI assigned
Jun 9, 2015
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Mr. Allen J. Samuels
Title
Executive Director
Phone
(856) 673-9197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

6638 Delilah Rd Ste C-D
Egg Harbor Township, NJ 08234-5659

Mailing address

289 Jackson Rd
Berlin, NJ 08009-2619
Phone (856) 809-0600

Other names 1

  • P.I.L.O.T. Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Personalized Independent Living Opporuntities Training Services18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

289 Jackson Rd
Berlin, NJ 08009

6638 Delilah Rd
Ste Cd
Egg Harbor Township, NJ 08234

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1063893634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 JACKSON RD",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092619",
            "telephone_number": "856-809-0600",
            "fax_number": "856-809-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6638 DELILAH RD STE C-D",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345659",
            "telephone_number": "856-809-0600",
            "fax_number": "856-809-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED INDEPENDENT LIVING OPPORUNTITIES & TRAINING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-673-9197",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P.I.L.O.T. Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "P.I.L.O.T. Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.