NPIMap

Organization Active NPI

Bancroft, a New Jersey Nonprofit Corporation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Medford, NJ
National Provider Identifier
1083140396
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
TBI062 Issued in NJ
Legal business name
BANCROFT, A NEW JERSEY NONPROFIT CORPORATION
Practice address
1705 Cedar Dr
Medford, NJ 08055-2322
Phone
(800) 774-5516
NPI assigned
May 5, 2017
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Ms. Jennifer Cripps
Title
Chief Financial Officer
Phone
(856) 348-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X TBI062 NJ Primary

Addresses

Primary practice location

1705 Cedar Dr
Medford, NJ 08055-2322

Mailing address

1255 Caldwell Rd
Cherry Hill, NJ 08034-3220
Phone (856) 348-1181

Other names 2

  • Bancroft- 1705 Cedar Dr Other name
  • Bancroft-Eugenia Dr Other name

National Provider Directory

National Provider Directory
Tax ID family
Bancroft Neurohealth252 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1083140396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 CALDWELL RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343220",
            "telephone_number": "856-348-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CEDAR DR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552322",
            "telephone_number": "800-774-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT, A NEW JERSEY NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CRIPPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "856-348-1181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "TBI062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bancroft- 1705 Cedar Dr",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bancroft-Eugenia Dr",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bancroft-Eugenia Dr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.