The New Jersey Expanding Capabilities Center

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

THE NEW JERSEY EXPANDING CAPABILITIES CENTER

Practice address

150 Tillman St
Westwood, NJ 07675-2628

Phone

(201) 819-9061

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn WillisNPI 1649643529

Title

Ceo

Phone

(201) 819-9061

Specialties & licenses 1

Addresses

Tax ID family

NJ Ecc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• NJ Ecc

  • Developmentally Disabled Services Day Training Agency
  • Livingston, NJ
  • NPI 1396347357
  NPD tax ID
• NJ Ecc

  • Developmentally Disabled Services Day Training Agency
  • Ramsey, NJ
  • NPI 1619579778
  NPD tax ID
• NJ Ecc

  • Developmental Disabilities Clinic/Center
  • Little Ferry, NJ
  • NPI 1659874675
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawn Willis, RBT, MSW, LCSW

  • Clinical Social Worker
  • Ramsey, NJ
  • NPI 1649643529
  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1336828185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 PINE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462334",
            "telephone_number": "201-819-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TILLMAN ST",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752628",
            "telephone_number": "201-819-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW JERSEY EXPANDING CAPABILITIES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-819-9061"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunflower Dental Group of Westwood PC (Sunflower Dental Group of Westwood)
• Sunflower Dental Group of Westwood PC
• Robert Tassan, M.D.
• Ralph J Terrace, D.M.D.
• The Bergen County Neonatal Center, PC
• The Optical Illusion
• Nicholas Julius Theisz, OD
• Brittany Tierney
• Kathy Tigue, RD, CDE, MPA
• Candice Marie Tomlin, CPHT

• Developmental Disabilities Clinic/Center in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.