NPIMap

Organization Active NPI

Pride Day Program Eclc of NJ

  • Developmentally Disabled Services Day Training Agency
  • Saddle Brook, NJ
National Provider Identifier
1326759713
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PRIDE DAY PROGRAM ECLC OF NJ
Practice address
250 Market St
Saddle Brook, NJ 07663-6038
Phone
(201) 272-1170
NPI assigned
Dec 7, 2022
Organization subpart
Yes
Parent organization
PRIDE DAY PROGRAM ECLC OF NJAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Jami Schockling
Title
Compliance Coordinator
Phone
(973) 601-5323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

250 Market St
Saddle Brook, NJ 07663-6038

Mailing address

100 Passaic Ave
Chatham, NJ 07928-2848
Phone (973) 601-5330

National Provider Directory

National Provider Directory
Tax ID family
Pride Day Program Eclc of NJ5 organizations share this tax ID, including this one
Part of
Pride Day Program Eclc of NJ

Other organizations with this tax ID 4

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

Locations

250 Market St
Saddle Brook, NJ 07663
Phone (201) 272-1170

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1326759713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASSAIC AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282848",
            "telephone_number": "973-601-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636038",
            "telephone_number": "201-272-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE DAY PROGRAM ECLC OF NJ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIDE DAY PROGRAM ECLC OF NJ",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "SCHOCKLING",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "COMPLIANCE COORDINATOR",
        "authorized_official_telephone_number": "973-601-5323"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.