Organization Active NPI

Durand, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mount Laurel, NJ
National Provider Identifier
1215447222
Registry record updated Oct 4, 2017
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
DURAND, INC
Practice address
303 Birchfield Dr
Mount Laurel, NJ 08054-4005
Phone
(856) 235-3540
Fax
(856) 235-4120
NPI assigned
Oct 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Raymond Cristofoletti
Title
Executive Director
Phone
(856) 235-3540

Specialties & licenses 1

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

Addresses

Primary practice location

303 Birchfield Dr
Mount Laurel, NJ 08054-4005

Mailing address

303 Birchfield Dr
Mount Laurel, NJ 08054-4005
Phone (856) 235-3540

Other identifiers 1

IdentifierTypeStateIssuer
0493571MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Durand Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1215447222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BIRCHFIELD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544005",
            "telephone_number": "856-235-3540",
            "fax_number": "856-235-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BIRCHFIELD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544005",
            "telephone_number": "856-235-3540",
            "fax_number": "856-235-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "CRISTOFOLETTI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-235-3540"
    },
    "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": "0493571",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.