Organization Active NPI

Ladacin Network

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Neptune, NJ
National Provider Identifier
1093227191
Registry record updated Oct 30, 2017
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
LADACIN NETWORK
Practice address
2550 Asbury Ave Apt 1
Neptune, NJ 07753-2570
Phone
(732) 493-5900
Fax
(732) 493-5980
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Patricia Carlesimo
Title
Executive Director
Phone
(732) 493-5980

Specialties & licenses 1

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

Addresses

Primary practice location

2550 Asbury Ave Apt 1
Neptune, NJ 07753-2570

Mailing address

1703 Kneeley Blvd
Ocean, NJ 07712-7622
Phone (732) 493-5900

Other identifiers 19

IdentifierTypeStateIssuer
047533MedicaidNJ
1962882274MedicaidNJ
1295115517MedicaidNJ
1780063248MedicaidNJ
1932379906MedicaidNJ
1992185409MedicaidNJ
1083094395MedicaidNJ
1114307436MedicaidNJ
1205216520MedicaidNJ
1396966438MedicaidNJ
1700265261MedicaidNJ
1629458146MedicaidNJ
1811376395MedicaidNJ
1811377138MedicaidNJ
1245619709MedicaidNJ
1588044895MedicaidNJ
1588834550MedicaidNJ
1962867507MedicaidNJ
1881074292MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Ladacin Network69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1093227191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 KNEELEY BLVD",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127622",
            "telephone_number": "732-493-5900",
            "fax_number": "732-493-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ASBURY AVE APT 1",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532570",
            "telephone_number": "732-493-5900",
            "fax_number": "732-493-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADACIN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "CARLESIMO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-493-5980"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
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        },
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            "identifier": "1295115517",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1780063248",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932379906",
            "state": "NJ"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1992185409",
            "state": "NJ"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1083094395",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114307436",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205216520",
            "state": "NJ"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1396966438",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700265261",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629458146",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811376395",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811377138",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245619709",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588044895",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588834550",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962867507",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881074292",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.