Active NPI
Goodwill Industries of Southern New Jersey and Philadelphia
- Developmentally Disabled Services Day Training Agency
- Maple Shade, NJ
National Provider Identifier
1235576497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY AND PHILADELPHIA
- Practice address
- 2835 Route 73 S
Maple Shade, NJ 08052-1627 - Phone
- (856) 439-0200
- Fax
- (856) 273-7947
- NPI assigned
- May 29, 2013
- Last updated
- May 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Castro
- Title
- Cfo
- Phone
- (856) 439-0200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary | |
| Voluntary or Charitable Agency | 251V00000X | NU |
Addresses
Primary practice location
2835 Route 73 S
Maple Shade, NJ 08052-1627
Mailing address
2835 Route 73 S
Maple Shade, NJ 08052-1627
Phone (856) 439-0200
National Provider Directory
National Provider Directory- Tax ID family
- Goodwill Home Medical Equipment a Subsidiary of
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Bellmawr, NJ
- NPI 1417383431
Locations
2835 Route 73 S
Maple Shade, NJ 08052
Phone (856) 439-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369785600000",
"number": "1235576497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 ROUTE 73 S",
"city": "MAPLE SHADE",
"state": "NJ",
"postal_code": "080521627",
"telephone_number": "856-439-0200",
"fax_number": "856-273-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 ROUTE 73 S",
"city": "MAPLE SHADE",
"state": "NJ",
"postal_code": "080521627",
"telephone_number": "856-439-0200",
"fax_number": "856-273-7947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY AND PHILADELPHIA",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A",
"authorized_official_last_name": "CASTRO",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "856-439-0200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Shade, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.