NPIMap

Organization Active NPI

1St Cerebral Palsy of New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Belleville, NJ
National Provider Identifier
1083128771
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
SA271 Issued in NJ
Legal business name
1ST CEREBRAL PALSY OF NEW JERSEY
Practice address
7 Sanford Ave
Belleville, NJ 07109-1221
Phone
(973) 751-0200
NPI assigned
Nov 17, 2017
Last updated
Nov 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
Patrick Denis Colligan, MPA
Title
Executive Director
Phone
(973) 751-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X SA271 NJ Primary

Addresses

Primary practice location

7 Sanford Ave
Belleville, NJ 07109-1221

Mailing address

7 Sanford Ave
Belleville, NJ 07109-1221
Phone (973) 751-0200

Other identifiers 1

IdentifierTypeStateIssuer
3752305MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
1St Cerebral Palsy of New Jersey6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1083128771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SANFORD AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091221",
            "telephone_number": "973-751-0200",
            "fax_number": "973-751-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SANFORD AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091221",
            "telephone_number": "973-751-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CEREBRAL PALSY OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "COLLIGAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DENIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-751-0200",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "SA271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3752305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.