NPIMap

Organization Active NPI

Community Quest Woodbine

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbine, NJ
National Provider Identifier
1144969072
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COMMUNITY QUEST WOODBINE
Practice address
1449 Dehirsch Ave Apt 4
Woodbine, NJ 08270-2454
Phone
(609) 646-0388
NPI assigned
May 31, 2022
Organization subpart
Yes
Parent organization
COMMUNITY QUEST, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Alicia D Axelson
Title
Director of Finance
Phone
(609) 646-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1449 Dehirsch Ave Apt 4
Woodbine, NJ 08270-2454

Mailing address

6814 Tilton Rd Ste G
Egg Harbor Township, NJ 08234-4490
Phone (609) 646-0388

National Provider Directory

National Provider Directory
Tax ID family
Community Quest Woodbine17 organizations share this tax ID, including this one
Part of
Community Quest Woodbine

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1144969072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 TILTON RD STE G",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344490",
            "telephone_number": "609-646-0388",
            "fax_number": "609-646-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 DEHIRSCH AVE APT 4",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082702454",
            "telephone_number": "609-646-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY QUEST WOODBINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY QUEST, INC.",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "AXELSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "609-646-0388"
    },
    "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": []
}

Other providers in Woodbine, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.