NPIMap

Organization Active NPI

Bethesda Lutheran

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Dumont, NJ
National Provider Identifier
1215459227
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BETHESDA LUTHERAN
Practice address
59 Sherwood Rd
Dumont, NJ 07628-1816
Phone
(201) 384-6948
NPI assigned
Jul 11, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Linda A Brinkman
Title
Area Director
Phone
(973) 831-4088

Specialties & licenses 1

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

Addresses

Primary practice location

59 Sherwood Rd
Dumont, NJ 07628-1816

Mailing address

220 Hamburg Tpke
Pompton Lakes, NJ 07442-1802
Phone (973) 831-4088

Other practice location 1

116 Thackeray Rd
Oakland, NJ 07436-3320
Phone (201) 337-8081

Other practice location 2

12 Ward Witty Dr
Montville, NJ 07045-9752
Phone (973) 917-3510

Other practice location 3

11 Summit Ave
Pompton Lakes, NJ 07442-1327
Phone (973) 248-0768

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Lutheran5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1215459227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421802",
            "telephone_number": "973-831-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 SHERWOOD RD",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281816",
            "telephone_number": "201-384-6948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Thackeray Rd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "NJ",
            "postal_code": "074363320",
            "country_code": "US",
            "telephone_number": "201-337-8081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Ward Witty Dr",
            "address_purpose": "LOCATION",
            "city": "Montville",
            "state": "NJ",
            "postal_code": "070459752",
            "country_code": "US",
            "telephone_number": "973-917-3510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Pompton Lakes",
            "state": "NJ",
            "postal_code": "074421327",
            "country_code": "US",
            "telephone_number": "973-248-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETHESDA LUTHERAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BRINKMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "973-831-4088"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.