NPIMap

Organization Active NPI

Easter Seals New Jersey

  • Mental Illness Community Based Residential Treatment Facility
  • Hackettstown, NJ
National Provider Identifier
1316060577
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
40003-W40-01-40 Issued in NJ
Legal business name
EASTER SEALS NEW JERSEY
Practice address
409 Sharp St
Hackettstown, NJ 07840-1933
Phone
(732) 257-6662
Fax
(732) 257-7373
NPI assigned
Apr 10, 2007
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Omar Soberal
Title
VP of Revenue
Phone
(732) 955-8373

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 40003-W40-01-40 NJ Primary
Mental Illness Community Based Residential Treatment Facility 320800000X 40003-W40-07-40 NJ
Mental Illness Community Based Residential Treatment Facility 320800000X 40003-W40-06-40 NJ

Addresses

Primary practice location

409 Sharp St
Hackettstown, NJ 07840-1933

Mailing address

241 Forsgate Drive
Jamesburg, NJ 08831
Phone (732) 257-6662

Other practice location 1

47 Belview Rd
Lapatong, NJ 07840
Phone (732) 955-8374

Other practice location 2

3 Beechwood Lane
Blairstown, NJ 07823
Phone (732) 955-8374

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals of New Jersey Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1316060577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 FORSGATE DRIVE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "08831",
            "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": "409 SHARP ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401933",
            "telephone_number": "732-257-6662",
            "fax_number": "732-257-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Belview Rd",
            "address_purpose": "LOCATION",
            "city": "Lapatong",
            "state": "NJ",
            "postal_code": "07840",
            "country_code": "US",
            "telephone_number": "732-955-8374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Beechwood Lane",
            "address_purpose": "LOCATION",
            "city": "Blairstown",
            "state": "NJ",
            "postal_code": "07823",
            "country_code": "US",
            "telephone_number": "732-955-8374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTER SEALS NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "SOBERAL",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "VP OF REVENUE",
        "authorized_official_telephone_number": "732-955-8373"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NJ",
            "license": "40003-W40-01-40",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NJ",
            "license": "40003-W40-07-40",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NJ",
            "license": "40003-W40-06-40",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.