Pennreach

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PENNREACH

Practice address

69 Main St Apt 1010
Fort Lee, NJ 07024-6909

Phone

(215) 409-5519

NPI assigned

Aug 7, 2019

Organization subpart

No

Name

Krystal Odell

Title

Ceo

Phone

(215) 409-5519

Organizations that report the same tax identification number in the National Provider Directory.

• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jersey City, NJ
  • NPI 1043799893
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Lee, NJ
  • NPI 1053966986
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Edison, NJ
  • NPI 1063030948
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Woodbridge, NJ
  • NPI 1063066470
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Aberdeen, NJ
  • NPI 1063991768
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Lee, NJ
  • NPI 1083269211
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Allentown, NJ
  • NPI 1093666729
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Metuchen, NJ
  • NPI 1104780303
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bordentown, NJ
  • NPI 1124532692
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Edison, NJ
  • NPI 1134747017
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbridge, NJ
  • NPI 1134773583
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Lee, NJ
  • NPI 1144875071
  NPD tax ID

Tax ID family

Pennreach (87 organizations share this tax ID)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2019.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1144875006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MAIN ST APT 1010",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246909",
            "telephone_number": "215-409-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-409-5519"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahrshi Kiritkumar Patel, PTA
• Pediatric Language Center
• Jacqueline Pena
• Pennreach
• Pennreach
• Pennreach
• Pennreach
• Pennreach
• Pennreach
• Pennreach

• All providers in Fort Lee, NJ
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.