Derlan Enterprises

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

10134-01-05 Issued in NJ

Legal business name

DERLAN ENTERPRISES

Doing business as

center for growth partial care

Practice address

498 William St
East Orange, NJ 07017-2214

Phone

(973) 678-7445

Fax

(973) 678-6611

NPI assigned

Apr 19, 2007

Last updated

Jul 8, 2008By 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

Arnold Lizardo, BS

Title

President

Phone

(973) 678-7445

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• center for growth partial care Doing business as

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1306063557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 POND RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072082",
            "telephone_number": "973-678-7445",
            "fax_number": "973-678-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 WILLIAM ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172214",
            "telephone_number": "973-678-7445",
            "fax_number": "973-678-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERLAN ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "LIZARDO",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-678-7445",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NJ",
            "license": "10134-01-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054399",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "center for growth partial care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celeste M Demarco, NP
• Alain Denis
• Theresa Denoble, MSW, LCSW
• Dept. of Veteran Affairs NJ Health Care System
• Megan Derisse, PHD
• Taylor Jacquline Derocha
• Hardik Rajendrakumar Desai
• Jignesh A Desai, PHARMACIST
• Minaxi I Desai, M.D.
• Rikesh Desai, PHARMD

• Case Manager/Care Coordinator in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.