Matheny School and Hospital
Organization Active NPI Developmentally Disabled Services Day Training Agency · Peapack, NJ
NPI 1104292648 · NPPES record last updated Aug 19, 2015
Key facts
- NPI
- 1104292648
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- MATHENY SCHOOL AND HOSPITAL
- Practice address
- 65 Highland Avenue
Peapack, NJ 07977-0339 - Phone
- (908) 234-0011
- Fax
- (908) 234-9367
- NPI assigned
- Aug 19, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Kendell Sprott, M.D J.D
- Title
- Ceo
- Phone
- (908) 234-0011
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Matheny School Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
65 Highland Avenue
Peapack, NJ 07977-0339
Mailing address
65 Highland Avenue
Peapack, NJ 07977-0339
Phone (908) 234-0011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4143001 | Medicaid | NJ |
Other providers in Peapack, NJ
- Alexander Lee Fraumann
- Susan Marie Harabedian
- Nancy Sarmiento Kouflie
- Christine P Mand
- Matheny
- Matheny School and Hospital
- Matheny School and Hospital
- Matheny School and Hospital
- Matheny School and Hospital
- Matheny School and Hospital
All providers in Peapack, NJ · Developmentally Disabled Services Day Training Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.