Active NPI
Platinum Hearts a NJ Nonprofit Corporation
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Milltown, NJ
National Provider Identifier
1366299174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- PLATINUM HEARTS A NJ NONPROFIT CORPORATION
- Practice address
- 808 Prospect Ave
Milltown, NJ 08850-2019 - Phone
- (732) 609-2247
- Fax
- (732) 658-3774
- NPI assigned
- May 1, 2024
- Last updated
- May 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon E Benjamin
- Title
- Vice President
- Phone
- (201) 697-9802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
808 Prospect Ave
Milltown, NJ 08850-2019
Mailing address
404 Towne Centre Dr
North Brunswick, NJ 08902-1200
Phone (732) 658-3771
National Provider Directory
National Provider Directory- Tax ID family
- Platinum Hearts a NJ Non-Profit Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Milltown, NJ
- NPI 1619463437
-
- Case Manager/Care Coordinator
- Highland Park, NJ
- NPI 1699657684
Locations
404 Towne Centre Dr
North Brunswick, NJ 08902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1366299174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 TOWNE CENTRE DR",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089021200",
"telephone_number": "732-658-3771",
"fax_number": "732-658-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 PROSPECT AVE",
"city": "MILLTOWN",
"state": "NJ",
"postal_code": "088502019",
"telephone_number": "732-609-2247",
"fax_number": "732-658-3774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATINUM HEARTS A NJ NONPROFIT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "201-697-9802"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milltown, NJ
- Ritesh D Patel
- Roshan S. Patel, PHARMD
- Pathway Home Care LLC
- Paula Sjolund, DO, LLC
- Platinum Hearts a NJ Non-Profit Corporation
- Andrea Karr Pompliano
- Kasthuri Pothiraj, MD
- Quick Mart Pharmacy & Convenience LLC
- Quick Mart Pharmacy & Convenience LLC (Quick Mart Pharmacy)
- Quick Mart Pharmacy and Convenience LLC (Quick Mart Pharmacyu and Convenience)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.