NPIMap

Organization Active NPI

Jewish Service for the Developmentally Disabled

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Florham Park, NJ
National Provider Identifier
1275126559
Registry record updated Feb 17, 2021
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
JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED
Practice address
5 Independence Way Apt 101
Florham Park, NJ 07932-1111
Phone
(973) 272-7141
Fax
(973) 325-2980
NPI assigned
Feb 17, 2021
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Linda Rae Press
Title
Executive Director
Phone
(973) 272-7141

Specialties & licenses 1

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

Addresses

Primary practice location

5 Independence Way Apt 101
Florham Park, NJ 07932-1111

Mailing address

270 Pleasant Valley Way
West Orange, NJ 07052-2967

Other practice location 1

45 Perkins Dr
West Orange, NJ 07052-1153
Phone (973) 272-7141

Other practice location 2

7 Cortland Ct Apt 101
Livingston, NJ 07039-5710
Phone (973) 272-7141

Other identifiers 1

IdentifierTypeStateIssuer
1932402906MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@jsddmetrowest.org

National Provider Directory

National Provider Directory
Tax ID family
Jewish Service for the Developmentally Disabled52 organizations share this tax ID, including this one

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1275126559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INDEPENDENCE WAY APT 101",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321111",
            "telephone_number": "973-272-7141",
            "fax_number": "973-325-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Perkins Dr",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070521153",
            "country_code": "US",
            "telephone_number": "973-272-7141",
            "fax_number": "973-325-2980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Cortland Ct Apt 101",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395710",
            "country_code": "US",
            "telephone_number": "973-272-7141",
            "fax_number": "973-325-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "PRESS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-272-7141"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932402906",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@jsddmetrowest.org",
            "affiliation": "N",
            "address_1": "5 Independence Way",
            "address_2": "Apt. 101",
            "city": "Florham Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.