NPIMap

Organization Active NPI

Derrick Alloway Medical Arts, LLC

  • Developmentally Disabled Services Day Training Agency
  • Rutherford, NJ
National Provider Identifier
1285104976
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
DERRICK ALLOWAY MEDICAL ARTS, LLC
Practice address
305 Park Ave
Rutherford, NJ 07070-2748
Phone
(201) 207-9243
NPI assigned
Nov 26, 2018
Last updated
Nov 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Derrick Jason AllowayNPI 1326234840
Title
Director
Phone
(201) 207-9243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

305 Park Ave
Rutherford, NJ 07070-2748

Mailing address

305 Park Ave
Rutherford, NJ 07070-2748
Phone (201) 207-9243

Other names 1

  • Derrick Alloway Medical Arts Non Profit Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Derrick Alloway Medical Arts LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1285104976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PARK AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702748",
            "telephone_number": "201-207-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PARK AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702748",
            "telephone_number": "201-207-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRICK ALLOWAY MEDICAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "ALLOWAY",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-207-9243"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derrick Alloway Medical Arts Non Profit",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.