Organization Active NPI

Roseland Development Agency LLC

  • Community/Behavioral Health Agency
  • Jersey City, NJ
National Provider Identifier
1164172391
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROSELAND DEVELOPMENT AGENCY LLC
Practice address
126 Randolph Ave Apt 1R
Jersey City, NJ 07305-4451
Phone
(404) 579-6261
NPI assigned
Mar 29, 2022
Last updated
Apr 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Tarsha Lewis
Title
Ceo
Phone
(404) 579-6261

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
Supports Brokerage Agency 251X00000X
Non-emergency Medical Transport (VAN) 343900000X
Transportation Broker 347E00000X
Respite Care 385H00000X

Addresses

Primary practice location

126 Randolph Ave Apt 1R
Jersey City, NJ 07305-4451

Mailing address

126 Randolph Ave Apt 1R
Jersey City, NJ 07305-4451
Phone (404) 579-6261

National Provider Directory

National Provider Directory

Locations

900 Peachtree Industrial Blvd
#1162
Suwanee, GA 30024

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1164172391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 RANDOLPH AVE APT 1R",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054451",
            "telephone_number": "404-579-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 RANDOLPH AVE APT 1R",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054451",
            "telephone_number": "404-579-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELAND DEVELOPMENT AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TARSHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-579-6261"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.