Organization Active NPI

Qmanj, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Voorhees, NJ
National Provider Identifier
1285169375
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
QMANJ, INC
Practice address
1124 Bibbs Rd
Apt #1
Voorhees, NJ 08043-2166
Phone
(856) 770-5140
NPI assigned
Apr 26, 2017
Last updated
Jul 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Authorized official

Name
John Blair Eirdosh, MA
Title
Chief Operating Officer
Phone
(856) 735-1034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1124 Bibbs Rd
Apt #1
Voorhees, NJ 08043-2166

Mailing address

700 Cinnaminson Ave BLDG B
Palmyra, NJ 08065-2500
Phone (856) 735-1034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1285169375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CINNAMINSON AVE BLDG B",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080652500",
            "telephone_number": "856-735-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BIBBS RD",
            "address_2": "APT #1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432166",
            "telephone_number": "856-770-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QMANJ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "EIRDOSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "856-735-1034",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.