NPIMap

Organization Active NPI

Eden Autism Services

  • Developmentally Disabled Services Day Training Agency
  • Robbinsville, NJ
National Provider Identifier
1366053464
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
EDEN AUTISM SERVICES
Practice address
416 Ravens Road
Robbinsville, NJ 08691
Phone
(609) 987-0099
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Beth Lo
Title
Manager Ehr & Medicaid
Phone
(609) 608-8531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

416 Ravens Road
Robbinsville, NJ 08691

Mailing address

2 Merwick Rd
Princeton, NJ 08540-5730
Phone (609) 608-8531

Other identifiers 1

IdentifierTypeStateIssuer
0476536MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Eden Institute46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1366053464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERWICK RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405730",
            "telephone_number": "609-608-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 RAVENS ROAD",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "609-987-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "MANAGER EHR & MEDICAID",
        "authorized_official_telephone_number": "609-608-8531"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476536",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.