NPIMap

Organization Active NPI

Avenues to Independent Living

  • Developmentally Disabled Services Day Training Agency
  • Woodbury, NJ
National Provider Identifier
1114363546
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
621610 Issued in NJ
Legal business name
AVENUES TO INDEPENDENT LIVING
Practice address
55 Curtis Ave
Woodbury, NJ 08096-4619
Phone
(856) 537-7919
NPI assigned
May 13, 2013
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Mrs. Joan Clark
Title
Executive Director
Phone
(856) 537-7919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 621610 NJ Primary

Addresses

Primary practice location

55 Curtis Ave
Woodbury, NJ 08096-4619

Mailing address

55 Curtis Ave
Woodbury, NJ 08096-4619
Phone (856) 537-7919

National Provider Directory

National Provider Directory
Tax ID family
Avenues to Independent Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1114363546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CURTIS AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964619",
            "telephone_number": "856-537-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CURTIS AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964619",
            "telephone_number": "856-537-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES TO INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-537-7919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": "621610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.