Organization Active NPI

The Arc of Monmouth

Doing business as Eatontown Achievement Center

  • Developmentally Disabled Services Day Training Agency
  • Wall Township, NJ
National Provider Identifier
1164801791
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
THE ARC OF MONMOUTH
Doing business as
Eatontown Achievement Center
Practice address
1345 Campus Pkwy Ste A9
Wall Township, NJ 07753-6828
Phone
(732) 389-5256
Fax
(732) 389-4637
NPI assigned
May 28, 2015
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
THE ARC OF MONMOUTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Mr. Robert Angel
Title
Executive Director
Phone
(732) 493-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1345 Campus Pkwy Ste A9
Wall Township, NJ 07753-6828

Mailing address

20 Meridian Rd
Eatontown, NJ 07724-2267
Phone (732) 389-5256

Other names 1

  • Eatontown Achievement Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Monmouth Inc43 organizations share this tax ID, including this one
Part of
The Arc of Monmouth Inc

Other organizations with this tax ID 42

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

View all 42

Locations

20 Meridian Rd
Eatontown, NJ 07724
Phone (732) 578-9090

1345 Campus Pkwy
Ste A9
Wall Township, NJ 07753
Phone (732) 389-5256

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1164801791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242267",
            "telephone_number": "732-389-5256",
            "fax_number": "732-389-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 CAMPUS PKWY STE A9",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536828",
            "telephone_number": "732-389-5256",
            "fax_number": "732-389-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF MONMOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ARC OF MONMOUTH",
        "enumeration_date": "2015-05-28",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-493-1919",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eatontown Achievement Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eatontown Achievement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.