Active NPI
Pennreach
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
National Provider Identifier
1265097430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- PENNREACH
- Practice address
- 69 Main St Apt 1110
Fort Lee, NJ 07024-6909 - Phone
- (215) 409-5519
- NPI assigned
- May 3, 2019
- Last updated
- Jul 22, 2019
- 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
- Pauline Bailo
- Title
- Director
- Phone
- (215) 475-2401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
69 Main St Apt 1110
Fort Lee, NJ 07024-6909
Mailing address
18 S Main St
Allentown, NJ 08501-1610
Phone (215) 409-5519
Other practice location 1
69 Main St Apt 1010
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Other practice location 2
69 Main St Apt 1108
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Other practice location 3
69 Main St Apt 1008
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Other practice location 4
69 Main St Apt 914
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Other practice location 5
69 Main St Apt 912
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Other practice location 6
69 Main St Apt 910
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Other practice location 7
69 Main St Apt 814
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Other practice location 8
69 Main St Apt 812
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Other practice location 9
69 Main St Apt 807
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Other practice location 10
69 Main St Apt 712
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Other practice location 11
69 Main St Apt 608
Fort Lee, NJ 07024-6909
Phone (221) 540-9551
Other practice location 12
69 Main St Apt 614
Fort Lee, NJ 07024-6909
Phone (215) 409-5519
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbailo@pennreach.org |
National Provider Directory
National Provider Directory- Tax ID family
- Pennreach
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1144875071
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Edison, NJ
- NPI 1154949030
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fort Lee, NJ
- NPI 1164077681
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1174178305
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1174178412
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Paterson, NJ
- NPI 1184138646
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbridge, NJ
- NPI 1184278533
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Long Branch, NJ
- NPI 1194239590
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Old Bridge, NJ
- NPI 1205327350
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1245885185
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Aberdeen, NJ
- NPI 1255819843
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Edison, NJ
- NPI 1265050009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563753600000",
"number": "1265097430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 S MAIN ST",
"city": "ALLENTOWN",
"state": "NJ",
"postal_code": "085011610",
"telephone_number": "215-409-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 MAIN ST APT 1110",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246909",
"telephone_number": "215-409-5519"
}
],
"practiceLocations": [
{
"address_1": "69 Main St Apt 1010",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 1108",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 1008",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 914",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 912",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 910",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 814",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 812",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 807",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 712",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 608",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "221-540-9551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Main St Apt 614",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070246909",
"country_code": "US",
"telephone_number": "215-409-5519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PENNREACH",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-03",
"last_updated": "2019-07-22",
"status": "A",
"authorized_official_last_name": "BAILO",
"authorized_official_first_name": "PAULINE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "215-475-2401"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pbailo@pennreach.org",
"affiliation": "N",
"address_1": "18 S Main St",
"city": "Allentown",
"state": "NJ",
"country_code": "US",
"postal_code": "085011610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.