NPIMap

Organization Active NPI

Prince Association for the Developmentally Disabled, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Edgewater Park, NJ
National Provider Identifier
1265828396
Registry record updated Nov 15, 2016
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
PRINCE ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED, INC.
Practice address
106 N Garden Blvd
Edgewater Park, NJ 08010-2147
Phone
(609) 877-6920
NPI assigned
Apr 15, 2015
Last updated
Nov 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Willa Prince
Title
Executive Director
Phone
(609) 877-6745

Specialties & licenses 1

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

Addresses

Primary practice location

106 N Garden Blvd
Edgewater Park, NJ 08010-2147

Mailing address

20 Twisting LN
Willingboro, NJ 08046-4116

National Provider Directory

National Provider Directory
Tax ID family
Prince Association for the Developmentally Disabled Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1265828396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TWISTING LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080464116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N GARDEN BLVD",
            "city": "EDGEWATER PARK",
            "state": "NJ",
            "postal_code": "080102147",
            "telephone_number": "609-877-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "WILLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-877-6745"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.