Organization Active NPI

Unity Place Das Program

  • Clinic/Center
  • Cherry Hill, NJ
National Provider Identifier
1144627225
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNITY PLACE DAS PROGRAM
Practice address
1 Keystone Ave
Cherry Hill, NJ 08003-1600
Phone
(732) 364-4466
NPI assigned
Dec 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Jerry Tischler, BS
Title
Executive Director
Phone
(732) 364-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NJ Primary

Addresses

Primary practice location

1 Keystone Ave
Cherry Hill, NJ 08003-1600

Mailing address

821 Woodland Dr
Lakewood, NJ 08701-3038
Phone (732) 364-4466

Other identifiers 1

IdentifierTypeStateIssuer
0225827MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251119004063 NJ Part B Supplier - Clinic/Group Practice 7012409816 Receives reassigned benefits from 1 practitioner
Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory
Tax ID family
Unity Place Das Program2 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.

Locations

1 Keystone Ave
Cherry Hill, NJ 08003
Phone (732) 364-4466

1 Keystone Ave
Ste 100
Cherry Hill, NJ 08003
Phone (856) 424-4142

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": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1144627225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 WOODLAND DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013038",
            "telephone_number": "732-364-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KEYSTONE AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031600",
            "telephone_number": "732-364-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY PLACE DAS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "TISCHLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-364-4466",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225827",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.