Enotdis, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ENOTDIS, INC.

Practice address

39 E Main St
Mendham, NJ 07945-1539

Phone

(862) 500-1102

NPI assigned

Oct 17, 2019

Last updated

Oct 17, 2019By 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

Randall Valentine

Title

Coo

Phone

(862) 500-1102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1285277640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451539",
            "telephone_number": "862-500-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451539",
            "telephone_number": "862-500-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOTDIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "862-500-1102"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Duarte, OT
• Sara Durham
• Debra Ann Duryea
• Hannah R Edgell, LSW
• Encare of Mendham, LLC (Holly Manor Center)
• Kathleen Erbeck, DC
• Kyle Farrell
• Sharon W Farrell, RNC,ANP
• Karen K Fenichel, DMD
• Mary Elizabeth Fennelly, CRC

• Developmentally Disabled Services Day Training Agency in Mendham, NJ
• Providers in Mendham, 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 Oct 17, 2019; 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.