Community Supports Network

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COMMUNITY SUPPORTS NETWORK

Practice address

170 Changebridge Rd BLDG A42
Montville, NJ 07045-9112

Phone

(201) 919-3211

Fax

(908) 891-2288

NPI assigned

Apr 18, 2017

Last updated

Jun 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Teddy Kenneth Mayer

Title

Chief Executive Officer

Phone

(201) 919-3211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1285168047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PINE BROOK RD",
            "city": "TOWACO",
            "state": "NJ",
            "postal_code": "070821463",
            "telephone_number": "201-919-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD BLDG A42",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459112",
            "telephone_number": "201-919-3211",
            "fax_number": "908-891-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORTS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "201-919-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Chung, PA-C
• Ryan Coelho, PA-C
• Esther Collins
• Community Options Enterprises, Inc.
• Community Support Services of NJ
• Adriana Correa, D.M.D
• Alice Coscia, APN
• Michelle Crotty, FNP
• Nancy Cursi-Vogle
• Dana D'Amato, PT, DPT

• Developmentally Disabled Services Day Training Agency in Montville, NJ
• Providers in Montville, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.