Organization Active NPI

Lennon's House a NJ Nonprofit Corp

  • Developmentally Disabled Services Day Training Agency
  • Rockaway, NJ
National Provider Identifier
1255922563
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LENNON'S HOUSE A NJ NONPROFIT CORP
Practice address
21 Pine St
Rockaway, NJ 07866-3130
Phone
(973) 453-6550
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Christopher Brewster PhillipsNPI 1538750849
Title
Executive Director
Phone
(973) 814-2657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

21 Pine St
Rockaway, NJ 07866-3130

Mailing address

17 Oak LN
Newfoundland, NJ 07435-1200
Phone (973) 814-2657

National Provider Directory

National Provider Directory

Locations

21 Pine St
Rockaway, NJ 07866
Phone (973) 453-6550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1255922563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OAK LN",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351200",
            "telephone_number": "973-814-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PINE ST",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663130",
            "telephone_number": "973-453-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENNON'S HOUSE A NJ NONPROFIT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BREWSTER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-814-2657"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.