Elwyn New Jersey

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ELWYN NEW JERSEY

Practice address

120 Covered Bridge Rd
Cherry Hill, NJ 08034-2903

Phone

(856) 794-5300

NPI assigned

Mar 7, 2025

Organization subpart

No

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

Authorized official

Name

Dermikka Dodson

Title

Executive Director

Phone

(856) 794-5300

Specialties & licenses 1

Addresses

Tax ID family

Elwyn New Jersey72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

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

• Elwyn New Jersey

  • Community/Behavioral Health Agency
  • Sewell, NJ
  • NPI 1003469396
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Glassboro, NJ
  • NPI 1023532330
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Williamstown, NJ
  • NPI 1053835306
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Milmay, NJ
  • NPI 1053847434
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Millville, NJ
  • NPI 1063936359
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1063949709
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Turnersville, NJ
  • NPI 1124542618
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1144744434
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1144744632
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clayton, NJ
  • NPI 1164193561
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1164958302
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1235653528
  NPD tax ID

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1215735840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W LANDIS AVE BLDG C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608138",
            "telephone_number": "856-794-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COVERED BRIDGE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342903",
            "telephone_number": "856-794-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "DERMIKKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-794-5300"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Lance Ellner, OT
• Linnie Elmore, MFT
• Julissa Elsberry
• Hazem M. Elshoreya, MD
• Natalia Eltabaa, NP
• Elwyn New Jersey
• Embodied Healing
• Emeritus Corporation
• Lidia Emma
• Philip Emma

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.