NPIMap

Organization Active NPI

Catholic Charities, Diocese of Metuchen

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Perth Amboy, NJ
National Provider Identifier
1285756155
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CATHOLIC CHARITIES, DIOCESE OF METUCHEN
Practice address
319 Maple St
Perth Amboy, NJ 08861-4101
Phone
(732) 324-8200
Fax
(732) 826-3627
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Christine Benitez
Title
Chief Finanacial Officer
Phone
(732) 324-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

319 Maple St
Perth Amboy, NJ 08861-4101

Mailing address

319 Maple Street
Perth Amboy, NJ 08861
Phone (732) 324-8200

Other identifiers 1

IdentifierTypeStateIssuer
8835209MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities MNTL38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285756155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MAPLE STREET",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-324-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MAPLE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614101",
            "telephone_number": "732-324-8200",
            "fax_number": "732-826-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES, DIOCESE OF METUCHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF FINANACIAL OFFICER",
        "authorized_official_telephone_number": "732-324-8200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8835209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.