Easter Seals New Jersey
Organization Active NPI Community/Behavioral Health Agency · Pine Hill, NJ
NPI 1306226154 · NPPES record last updated Jun 8, 2015
Key facts
- NPI
- 1306226154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- EASTER SEALS NEW JERSEY
- Practice address
- 828 Blackwood Clementon Road
Chateau Ridge Apts, #I 174 & 177
Pine Hill, NJ 08021 - Phone
- (856) 627-2808
- Fax
- (856) 309-5674
- 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
National Provider Directory
- Tax ID family
- Easter Seals New Jersey
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
828 Blackwood Clementon Road
Chateau Ridge Apts, #I 174 & 177
Pine Hill, NJ 08021
Mailing address
25 Kennedy Blvd
Suite 600
East Brunswick, NJ 08816-1259
Phone (732) 257-6662
Other names
- ESNJ - Pine Hill SA (B)
Other providers in Pine Hill, NJ
- Community Options, Inc.
- Marybeth Cuffari
- Quiandra Davis
- Peter John-Paul Digiacomo
- Easter Seals New Jersey
- Easter Seals New Jersey
- Easter Seals New Jersey
- Thea Garrett
- Jason Giansanti
- Candace Green
All providers in Pine Hill, NJ · Community/Behavioral Health Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.