Active NPI
Elwyn New Jersey
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bridgeton, NJ
National Provider Identifier
1265956551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ELWYN NEW JERSEY
- Practice address
- 721 Landis Ave
Bridgeton, NJ 08302-4837 - Phone
- (856) 453-7830
- NPI assigned
- Jul 28, 2017
- Last updated
- Aug 15, 2022
- Organization subpart
- Yes
- Parent organization
- ELWYN NEW JERSEY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Hartley
- Title
- Executive Director
- Phone
- (856) 794-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NJ | Primary |
Addresses
Primary practice location
721 Landis Ave
Bridgeton, NJ 08302-4837
Mailing address
228 W Landis Ave BLDG C
Vineland, NJ 08360-8138
Phone (856) 794-5300
National Provider Directory
National Provider Directory- Tax ID family
- Elwyn New Jersey
- Part of
- Elwyn New Jersey
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
- Millville, NJ
- NPI 1063936359
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Vineland, NJ
- NPI 1063949709
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Turnersville, NJ
- NPI 1124542618
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Vineland, NJ
- NPI 1144744434
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Vineland, NJ
- NPI 1144744632
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Clayton, NJ
- NPI 1164193561
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Vineland, NJ
- NPI 1164958302
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Cherry Hill, NJ
- NPI 1215735840
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Vineland, NJ
- NPI 1235653528
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pilesgrove, NJ
- NPI 1245791532
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mullica Hill, NJ
- NPI 1245798297
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Vineland, NJ
- NPI 1265848675
Locations
721 Landis Ave
Bridgeton, NJ 08302
Phone (856) 453-7830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1265956551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 W LANDIS AVE BLDG C",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083608138",
"telephone_number": "856-794-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 LANDIS AVE",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083024837",
"telephone_number": "856-453-7830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELWYN NEW JERSEY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELWYN NEW JERSEY",
"enumeration_date": "2017-07-28",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "HARTLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "856-794-5300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.