Organization Active NPI

Advance Divine Healthcare Inc

  • Developmental Disabilities Clinic/Center
  • Plainfield, NJ
National Provider Identifier
1346814811
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ADVANCE DIVINE HEALTHCARE INC
Practice address
191 Berkeley Ter
Plainfield, NJ 07062-1516
Phone
(732) 354-3313
Fax
(732) 354-3314
NPI assigned
May 18, 2021
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Mr. Celestine U Ohale, MR
Title
Administrator
Phone
(732) 447-4085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

191 Berkeley Ter
Plainfield, NJ 07062-1516

Mailing address

138 Lawrence St
New Brunswick, NJ 08901-3161
Phone (732) 447-4085

National Provider Directory

National Provider Directory
Tax ID family
Advance Divine Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1346814811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 LAWRENCE ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013161",
            "telephone_number": "732-447-4085",
            "fax_number": "732-354-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BERKELEY TER",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070621516",
            "telephone_number": "732-354-3313",
            "fax_number": "732-354-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE DIVINE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "OHALE",
        "authorized_official_first_name": "CELESTINE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-447-4085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.