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Easter Seals New Jersey

Organization Active NPI Community/Behavioral Health Agency · Forked River, NJ

NPI 1306226063 · NPPES record last updated Jun 8, 2015

Key facts

NPI
1306226063
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
EASTER SEALS NEW JERSEY
Practice address
15 Manchester Aveenue; Unit 10
Oakfield Plaza
Forked River, NJ 08731
Phone
(609) 693-1398
Fax
(609) 693-5197
NPI assigned
Jun 8, 2015
Organization subpart
No

Authorized official

Name
Mr. Brian J Fitzgerald
Title
President
Phone
(732) 257-6662

Corporate family (same tax ID) 33

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

View all 33

National Provider Directory

Tax ID family
Easter Seals New Jersey (34 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

15 Manchester Aveenue; Unit 10
Oakfield Plaza
Forked River, NJ 08731

Mailing address

25 Kennedy Blvd
Suite 600
East Brunswick, NJ 08816-1259
Phone (732) 257-6662

Other names

  • ESNJ - Lacey (S) Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2015.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1306226063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KENNEDY BLVD",
            "address_2": "SUITE 600",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161259",
            "telephone_number": "732-257-6662",
            "fax_number": "732-257-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MANCHESTER AVEENUE; UNIT 10",
            "address_2": "OAKFIELD PLAZA",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "08731",
            "telephone_number": "609-693-1398",
            "fax_number": "609-693-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-257-6662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESNJ - Lacey (S)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Forked River, NJ

All providers in Forked River, NJ · Community/Behavioral Health Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.