Active NPI
Madison'S Place Inc
- Community/Behavioral Health Agency
- Scotch Plains, NJ
National Provider Identifier
1255041497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MADISON'S PLACE INC
- Practice address
- 1533 E 2ND St Apt C8
Scotch Plains, NJ 07076-1638 - Phone
- (201) 213-5658
- NPI assigned
- Nov 29, 2022
- 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
- Ms. Avia Henry, MSW
- Title
- Ceo/Owner
- Phone
- (201) 213-5658
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| School Social Worker | 1041S0200X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
1533 E 2ND St Apt C8
Scotch Plains, NJ 07076-1638
Mailing address
PO Box 102
Edison, NJ 08818-0102
Phone (201) 213-5658
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669680000000",
"number": "1255041497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102",
"city": "EDISON",
"state": "NJ",
"postal_code": "088180102",
"telephone_number": "201-213-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 E 2ND ST APT C8",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761638",
"telephone_number": "201-213-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON'S PLACE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-29",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "AVIA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "201-213-5658",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.