Young Men'S Christian Association of Fanwood-Scotch Plains

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF FANWOOD-SCOTCH PLAINS

Practice address

1340 Martine Ave
Scotch Plains, NJ 07076-2524

Phone

(908) 889-8880

Fax

(908) 889-4073

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Kimberley Decker

Title

Ceo

Phone

(908) 889-1999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Bannon Peart, RD

  • Registered Dietitian
  • Lake Como, NJ
  • NPI 1134603434
  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1215487574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MARTINE AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762524",
            "telephone_number": "908-889-8880",
            "fax_number": "908-889-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 MARTINE AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762524",
            "telephone_number": "908-889-8880",
            "fax_number": "908-889-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF FANWOOD-SCOTCH PLAINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-889-1999"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellspring Women'S Health LLC
• James Andrew Weyand, ATC
• Charles Marlin White Jr., LCSW LCADC
• Hieka Wiese
• Christopher Y Wuttke, DC
• Annrenee Zullo, BCBA

• Health Educator in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
• Health Educator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.