Young Men's Christian Association of Madison, N.J.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF MADISON, N.J.

Doing business as

Madison Area YMCA

Practice address

111 Kings Rd
Madison, NJ 07940-2122

Phone

(973) 822-9622

Fax

(973) 377-1064

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

Diane Mann

Title

Chief Executive Officer

Phone

(973) 822-9622

Specialties & licenses 1

Addresses

Other names 1

• Madison Area YMCA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew K Riordan, MSPT, OCS

  • Orthopedic Physical Therapist
  • Madison, NJ
  • NPI 1205816535
  NPD (past)

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1336696533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KINGS RD",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402122",
            "telephone_number": "973-822-9622",
            "fax_number": "973-377-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KINGS RD",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402122",
            "telephone_number": "973-822-9622",
            "fax_number": "973-377-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF MADISON, N.J.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-822-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Area YMCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenifer M. Wilcher, LCSW
• Kelly Elizabeth Winans, DPT
• Priscilla Wong, DACM, L.AC.
• Christopher Scott Wyckoff, D.M.D.
• John Wyetzner, LSW
• Henry Patrick Zwick

• Health Educator in Madison, NJ
• Providers in Madison, NJ by specialty
• Health Educator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.