NPIMap

Organization Active NPI

New Jersey Institute for Disabilities, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Manahawkin, NJ
National Provider Identifier
1255812293
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH2620 Issued in NJ
Legal business name
NEW JERSEY INSTITUTE FOR DISABILITIES, INC
Practice address
124 Marlin Rd
Manahawkin, NJ 08050-1738
Phone
(732) 549-6187
Fax
(732) 590-2431
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Robert Ferrara
Title
Executive Director
Phone
(732) 549-6187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH2620 NJ Primary

Addresses

Primary practice location

124 Marlin Rd
Manahawkin, NJ 08050-1738

Mailing address

10A Oak Drive, Roosevelt Park
Edison, NH 08837-2313
Phone (732) 549-6187

Other identifiers 1

IdentifierTypeStateIssuer
0463477MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy Association of Middlesex County41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1255812293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10A OAK DRIVE, ROOSEVELT PARK",
            "city": "EDISON",
            "state": "NH",
            "postal_code": "088372313",
            "telephone_number": "732-549-6187",
            "fax_number": "732-590-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MARLIN RD",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080501738",
            "telephone_number": "732-549-6187",
            "fax_number": "732-590-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY INSTITUTE FOR DISABILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-549-6187"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH2620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463477",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.