Organization Active NPI

Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pilesgrove, NJ
National Provider Identifier
1245791532
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ELWYN NEW JERSEY
Practice address
383 Whig Lane Rd
Pilesgrove, NJ 08098-3217
Phone
(856) 794-5300
NPI assigned
Mar 28, 2019
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ELWYN NEW JERSEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Mr. William Hartley
Title
Executive Director
Phone
(856) 794-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

383 Whig Lane Rd
Pilesgrove, NJ 08098-3217

Mailing address

228 W Landis Ave BLDG C
Vineland, NJ 08360-8138
Phone (856) 794-5300

Other names 1

  • WHIG LANE Other name

National Provider Directory

National Provider Directory
Tax ID family
Elwyn New Jersey72 organizations share this tax ID, including this one
Part of
Elwyn New Jersey

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1245791532",
    "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": "383 WHIG LANE RD",
            "city": "PILESGROVE",
            "state": "NJ",
            "postal_code": "080983217",
            "telephone_number": "856-794-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN NEW JERSEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELWYN NEW JERSEY",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-794-5300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHIG LANE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pilesgrove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.