NPIMap

Organization Active NPI

Midland Adult Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Branchburg, NJ
National Provider Identifier
1104349539
Registry record updated Jul 18, 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
MIDLAND ADULT SERVICES
Practice address
94 Windy Willow Way
Branchburg, NJ 08876-3849
Phone
(908) 707-9178
Fax
(908) 707-9068
NPI assigned
Jul 18, 2017
Last updated
Jul 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Authorized official

Name
Mr. Shawn Michael McInerney, MSMNPI 1629914247
Title
President/Ceo
Phone
(908) 722-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

94 Windy Willow Way
Branchburg, NJ 08876-3849

Mailing address

94 Readington Road PO Box5026
Branchburg, NJ 08876
Phone (908) 722-8222

National Provider Directory

National Provider Directory
Tax ID family
Midland Adult Services Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1104349539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 READINGTON ROAD PO BOX5026",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "908-722-8222",
            "fax_number": "908-722-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 WINDY WILLOW WAY",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763849",
            "telephone_number": "908-707-9178",
            "fax_number": "908-707-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND ADULT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "MCINERNEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "908-722-8222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.