NPIMap

Organization Active NPI

Catholic Charities, Diocese of Metuchen

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Perth Amboy, NJ
National Provider Identifier
1194848788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
CATHOLIC CHARITIES, DIOCESE OF METUCHEN
Practice address
156 Wayne St
Perth Amboy, NJ 08861-2933
Phone
(732) 324-0331
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christine Benitez
Title
Chief Financial Officer
Phone
(732) 324-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

156 Wayne St
Perth Amboy, NJ 08861-2933

Mailing address

319 Maple St
Perth Amboy, NJ 08861-4101

Other identifiers 1

IdentifierTypeStateIssuer
0069396MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities MNTL38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

156 Wayne St
Perth Amboy, NJ 08861
Phone (732) 324-0331

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194848788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MAPLE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WAYNE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612933",
            "telephone_number": "732-324-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES, DIOCESE OF METUCHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "732-324-8200"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069396",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.