Elshiva Developmental Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELSHIVA DEVELOPMENTAL SERVICES

Practice address

397 Bridgeton Pike
Mantua, NJ 08051-1925

Phone

(609) 313-1080

NPI assigned

Mar 10, 2023

Last updated

Mar 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frank Mustafa

Title

Director

Phone

(609) 313-1080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1235830969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 BRIDGETON PIKE",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511925",
            "telephone_number": "609-313-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 BRIDGETON PIKE",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511925",
            "telephone_number": "609-313-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSHIVA DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-313-1080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Mantua, NJ
• Providers in Mantua, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.