NPIMap

Organization Active NPI

Jewish Service for the Developmentally Disabled of Metrowest, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Maplewood, NJ
National Provider Identifier
1174297790
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED OF METROWEST, INC.
Practice address
8 Woodland Rd
Maplewood, NJ 07040-1227
Phone
(973) 272-7141
Fax
(973) 325-2980
NPI assigned
Aug 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Linda Rae Press
Title
Executive Director
Phone
(973) 272-7141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

8 Woodland Rd
Maplewood, NJ 07040-1227

Mailing address

310 Eisenhower Pkwy
Livingston, NJ 07039-1708

Other identifiers 1

IdentifierTypeStateIssuer
1932402906MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@jsddmetrowest.org

National Provider Directory

National Provider Directory
Tax ID family
Jewish Service for the Developmentally Disabled52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1174297790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WOODLAND RD",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401227",
            "telephone_number": "973-272-7141",
            "fax_number": "973-325-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED OF METROWEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "PRESS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-272-7141"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932402906",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@jsddmetrowest.org",
            "affiliation": "N",
            "address_1": "8 Woodland Rd",
            "city": "Maplewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070401227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.