NPIMap

Organization Active NPI

Daytop Village of New Jersey, Inc.

Doing business as na

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mendham, NJ
National Provider Identifier
1154459162
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
AS0002 Issued in NJ
Legal business name
DAYTOP VILLAGE OF NEW JERSEY, INC.
Doing business as
na
Practice address
80 W Main St
Mendham, NJ 07945-1230
Phone
(973) 543-5656
Fax
(973) 543-7502
NPI assigned
Mar 1, 2007
Last updated
Sep 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Authorized official

Name
Mr. Stephen Scrape
Title
Director of Finance & Controller
Phone
(862) 260-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X AS0002 NJ Primary

Addresses

Primary practice location

80 W Main St
Mendham, NJ 07945-1230

Mailing address

PO Box 310
Mendham, NJ 07945-1230
Phone (862) 260-9460

Other identifiers 1

IdentifierTypeStateIssuer
5161304MedicaidNJ

Other names 1

  • na Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daytop Village of New Jersey Inc17 organizations share this tax ID, including this one

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1154459162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451230",
            "telephone_number": "862-260-9460",
            "fax_number": "860-260-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451230",
            "telephone_number": "973-543-5656",
            "fax_number": "973-543-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTOP VILLAGE OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "SCRAPE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & CONTROLLER",
        "authorized_official_telephone_number": "862-260-9460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "AS0002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5161304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "na",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.