Active NPI
Garden State Episcopal Community Development Corporation
- Case Management Agency
- Jersey City, NJ
National Provider Identifier
1114469483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 101680148
- Legal business name
- GARDEN STATE EPISCOPAL COMMUNITY DEVELOPMENT CORPORATION
- Practice address
- 118 Summit Ave
Jersey City, NJ 07304-3008 - Phone
- (201) 209-9301
- Fax
- (201) 659-1046
- NPI assigned
- Nov 17, 2016
- Last updated
- Nov 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Mori
- Title
- Executive Director
- Phone
- (201) 209-9301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 101680148 | NJ | Primary |
Addresses
Primary practice location
118 Summit Ave
Jersey City, NJ 07304-3008
Mailing address
118 Summit Ave
Jersey City, NJ 07304-3008
Phone (201) 209-9301
National Provider Directory
National Provider DirectoryLocations
118 Summit Ave
Jersey City, NJ 07304
Phone (201) 209-9301
514 Newark Ave
Jersey City, NJ 07306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479340800000",
"number": "1114469483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 SUMMIT AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073043008",
"telephone_number": "201-209-9301",
"fax_number": "201-659-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SUMMIT AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073043008",
"telephone_number": "201-209-9301",
"fax_number": "201-659-1046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE EPISCOPAL COMMUNITY DEVELOPMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-17",
"last_updated": "2016-11-17",
"status": "A",
"authorized_official_last_name": "MORI",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "201-209-9301"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NJ",
"license": "101680148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.