Fordham-Lewis Consulting, L.L.C.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Old Tappan, NJ
NPI 1164025193 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1164025193
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- FORDHAM-LEWIS CONSULTING, L.L.C.
- Practice address
- 179 Grave Avenue
Old Tappan, NJ 07675 - Phone
- (732) 684-3841
- NPI assigned
- Nov 20, 2020
- Organization subpart
- No
Authorized official
- Name
- Mrs. Angela Fordham-Lewis
- Title
- Founder/Owner
- Phone
- (732) 684-3841
Corporate family (same tax ID) 26
National Provider Directory
- Tax ID family
- Fordham-Lewis Consulting LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
179 Grave Avenue
Old Tappan, NJ 07675
Mailing address
613 Hope Rd Ste 5
Eatontown, NJ 07724-1279
Phone (732) 232-4150
NPI Registry JSON
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605830400000",
"number": "1164025193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 HOPE RD STE 5",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241279",
"telephone_number": "732-232-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 GRAVE AVENUE",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "07675",
"telephone_number": "732-684-3841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORDHAM-LEWIS CONSULTING, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-19",
"status": "A",
"authorized_official_last_name": "FORDHAM-LEWIS",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "FOUNDER/OWNER",
"authorized_official_telephone_number": "732-684-3841",
"authorized_official_name_prefix": "Mrs."
},
"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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.