NPIMap

Organization Active NPI

National Institute for People With Disabilities of New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Maywood, NJ
National Provider Identifier
1093197733
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
NATIONAL INSTITUTE FOR PEOPLE WITH DISABILITIES OF NEW JERSEY
Practice address
158 Clinton St
Maywood, NJ 07607-1828
Phone
(201) 587-0880
Fax
(201) 587-1980
NPI assigned
Jun 18, 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. Ralph Coloma
Title
Executive Director
Phone
(845) 358-5700

Specialties & licenses 1

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

Addresses

Primary practice location

158 Clinton St
Maywood, NJ 07607-1828

Mailing address

PO Box 301
Oradell, NJ 07649-0301
Phone (201) 750-0509

Other names 1

  • NIPD-NJ Other name

National Provider Directory

National Provider Directory
Tax ID family
National Institute for People With Disabilities of New Jersey29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1093197733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076490301",
            "telephone_number": "201-750-0509",
            "fax_number": "845-358-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CLINTON ST",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071828",
            "telephone_number": "201-587-0880",
            "fax_number": "201-587-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL INSTITUTE FOR PEOPLE WITH DISABILITIES OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "COLOMA",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-358-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIPD-NJ",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NIPD-NJ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maywood, 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.