Organization Active NPI

JCC Metrowest

  • Developmentally Disabled Services Day Training Agency
  • West Orange, NJ
National Provider Identifier
1134467988
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
JCC METROWEST
Practice address
760 Northfield Ave
West Orange, NJ 07052-1102
Phone
(973) 530-3507
Fax
(973) 463-3942
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Mr. Alan Feldman, MSW
Title
Ceo
Phone
(973) 530-3988

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NJ Primary
Respite Care 385H00000X

Addresses

Primary practice location

760 Northfield Ave
West Orange, NJ 07052-1102

Mailing address

760 Northfield Ave
West Orange, NJ 07052-1102
Phone (973) 530-3507

National Provider Directory

National Provider Directory

Locations

760 Northfield Ave
West Orange, NJ 07052
Phone (973) 240-7251

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1134467988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521102",
            "telephone_number": "973-530-3507",
            "fax_number": "973-463-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521102",
            "telephone_number": "973-530-3507",
            "fax_number": "973-463-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCC METROWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-530-3988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.