Organization Active NPI

Unity Support Brokerage Services

  • Case Manager/Care Coordinator
  • Willingboro, NJ
National Provider Identifier
1124660568
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
UNITY SUPPORT BROKERAGE SERVICES
Practice address
195 Pennypacker Dr
Willingboro, NJ 08046-2646
Phone
(215) 620-9247
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
James Jeanty
Title
Owner
Phone
(215) 620-9247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

195 Pennypacker Dr
Willingboro, NJ 08046-2646

Mailing address

195 Pennypacker Dr
Willingboro, NJ 08046-2646
Phone (215) 620-9247

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1124660568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 PENNYPACKER DR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462646",
            "telephone_number": "215-620-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 PENNYPACKER DR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462646",
            "telephone_number": "215-620-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY SUPPORT BROKERAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "JEANTY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-620-9247"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.