Organization Active NPI

New Jersey Association for Community Integration

  • Developmentally Disabled Services Day Training Agency
  • Lake Hopatcong, NJ
National Provider Identifier
1083303564
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
NEW JERSEY ASSOCIATION FOR COMMUNITY INTEGRATION
Practice address
31 Swan LN
Lake Hopatcong, NJ 07849-2448
Phone
(862) 268-6000
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Shannon Palmer
Title
Owner/ Ceo
Phone
(862) 268-6000

Specialties & licenses 1

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

Addresses

Primary practice location

31 Swan LN
Lake Hopatcong, NJ 07849-2448

Mailing address

31 Swan LN
Lake Hopatcong, NJ 07849-2448
Phone (862) 268-6000

National Provider Directory

National Provider Directory
Tax ID family
New Jersey Association for Community Integration2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1083303564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SWAN LN",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492448",
            "telephone_number": "862-268-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SWAN LN",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492448",
            "telephone_number": "862-268-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY ASSOCIATION FOR COMMUNITY INTEGRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "862-268-6000"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hopatcong, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.