NPIMap

Organization Active NPI

MGM Community Services Inc

  • Case Management Agency
  • Williamstown, NJ
National Provider Identifier
1144199183
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MGM COMMUNITY SERVICES INC
Practice address
1056 Beckley Dr
Williamstown, NJ 08094-8808
Phone
(856) 885-2120
Fax
(856) 885-2644
NPI assigned
Oct 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Kemley WhitesideNPI 1962807479
Title
Executive Director
Phone
(856) 885-2120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1056 Beckley Dr
Williamstown, NJ 08094-8808

Mailing address

1056 Beckley Dr
Williamstown, NJ 08094-8808
Phone (856) 885-2120

Other identifiers 1

IdentifierTypeStateIssuer
0595985MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@mgmnj.org Direct

National Provider Directory

National Provider Directory
Tax ID family
MGM Community Services Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1144199183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 BECKLEY DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948808",
            "telephone_number": "856-885-2120",
            "fax_number": "856-885-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 BECKLEY DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948808",
            "telephone_number": "856-885-2120",
            "fax_number": "856-885-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "KEMLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-885-2120"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0595985",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mgmnj.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1056 Beckley Dr",
            "city": "Williamstown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080948808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.