Organization Active NPI

Developmental Disabilities Association of NJ Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Middletown, NJ
National Provider Identifier
1114307394
Registry record updated Jun 3, 2015
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
DEVELOPMENTAL DISABILITIES ASSOCIATION OF NJ INC.
Practice address
141 Cherry Tree Farm Rd
Middletown, NJ 07748-1739
Phone
(732) 636-6710
Fax
(732) 636-5936
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Mr. James Casale
Title
Executive Director
Phone
(732) 636-6710

Specialties & licenses 1

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

Addresses

Primary practice location

141 Cherry Tree Farm Rd
Middletown, NJ 07748-1739

Mailing address

40 Woodbridge Ave
Sewaren, NJ 07077-1351
Phone (732) 636-6710

Other names 1

  • Middletown GH Other name

National Provider Directory

National Provider Directory
Tax ID family
Developmental Disabilities Association of NJ Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1114307394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WOODBRIDGE AVE",
            "city": "SEWAREN",
            "state": "NJ",
            "postal_code": "070771351",
            "telephone_number": "732-636-6710",
            "fax_number": "732-636-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CHERRY TREE FARM RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481739",
            "telephone_number": "732-636-6710",
            "fax_number": "732-636-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL DISABILITIES ASSOCIATION OF NJ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "CASALE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-636-6710",
        "authorized_official_name_prefix": "Mr."
    },
    "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": [
        {
            "organization_name": "Middletown GH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.