Active NPI
Camp Sunshine and Camp Snowflake, Inc.
- Respite Care Camp
- Ridgewood, NJ
National Provider Identifier
1336671114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care Camp
- License
- 228
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.