NPIMap

Organization Active NPI

State of New Jersey Omb Centralized Payroll

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Green Brook, NJ
National Provider Identifier
1356734271
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
31-G009 Issued in NJ
Legal business name
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Practice address
275 Greenbrook Rd
Green Brook, NJ 08812-2223
Phone
(732) 968-6000
Fax
(732) 968-0373
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Antonio Brindisi
Title
Cheif Executive Office
Phone
(732) 968-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 31-G009 NJ Primary

Addresses

Primary practice location

275 Greenbrook Rd
Green Brook, NJ 08812-2223

Mailing address

275 Greenbrook Rd
Green Brook, NJ 08812-2223
Phone (732) 968-6000

Other names 1

  • Green Brook Developmental Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Hunterdon Developmental22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1356734271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GREENBROOK RD",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088122223",
            "telephone_number": "732-968-6000",
            "fax_number": "732-968-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GREENBROOK RD",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088122223",
            "telephone_number": "732-968-6000",
            "fax_number": "732-968-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "BRINDISI",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "732-968-2004"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "31-G009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Brook Developmental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Green Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.