NPIMap

Organization Active NPI

Challenge Programs of NJ

  • Clinic/Center
  • Paterson, NJ
National Provider Identifier
1154583961
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
22583 Issued in NJ
Legal business name
CHALLENGE PROGRAMS OF NJ
Practice address
5 Colt St
Suite 400
Paterson, NJ 07505-1419
Phone
(973) 345-9100
Fax
(973) 345-9110
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Raymond Dorritie, PHD
Title
Executive Director
Phone
(973) 345-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 22583 NJ Primary

Addresses

Primary practice location

5 Colt St
Suite 400
Paterson, NJ 07505-1419

Mailing address

5 Colt St
Suite 400
Paterson, NJ 07505-1419
Phone (973) 345-9100

Other identifiers 1

IdentifierTypeStateIssuer
7639309MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Challenge Program of New Jersey Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1154583961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COLT ST",
            "address_2": "SUITE 400",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051419",
            "telephone_number": "973-345-9100",
            "fax_number": "973-345-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLT ST",
            "address_2": "SUITE 400",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051419",
            "telephone_number": "973-345-9100",
            "fax_number": "973-345-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALLENGE PROGRAMS OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "DORRITIE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-345-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "22583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7639309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.