Organization Active NPI

Camp Sunshine and Camp Snowflake, Inc.

  • Respite Care Camp
  • Ridgewood, NJ
National Provider Identifier
1336671114
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite Care CampTaxonomy code 385HR2050X
License
228 Issued in NJ
Legal business name
CAMP SUNSHINE AND CAMP SNOWFLAKE, INC.
Practice address
1133 East Ridgewood Avenue
Ridgewood, NJ 07450
Phone
(201) 652-1755
NPI assigned
Mar 30, 2017
Last updated
Mar 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Ms. Kimberly Dasilva
Title
Executive Director
Phone
(973) 633-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X 228 NJ Primary

Addresses

Primary practice location

1133 East Ridgewood Avenue
Ridgewood, NJ 07450

Mailing address

1700 Route 23
Suite 210
Wayne, NJ 07470-7536
Phone (973) 633-7111

National Provider Directory

National Provider Directory

Locations

1700 Route 23
Ste 210
Wayne, NJ 07470

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1336671114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ROUTE 23",
            "address_2": "SUITE 210",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707536",
            "telephone_number": "973-633-7111",
            "fax_number": "973-628-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAST RIDGEWOOD AVENUE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-652-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP SUNSHINE AND CAMP SNOWFLAKE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "DASILVA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-633-7111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "NJ",
            "license": "228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.