Active NPI
Anchor Life Support Services LLC
- Developmentally Disabled Services Day Training Agency
- Weehawken, NJ
National Provider Identifier
1366396269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- ANCHOR LIFE SUPPORT SERVICES LLC
- Practice address
- 5 Port Imperial Blvd Apt 126
Weehawken, NJ 07086-7680 - Phone
- (646) 669-3664
- Fax
- (646) 669-3664
- NPI assigned
- Feb 26, 2026
- 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
- Cindy Adom
- Title
- Director
- Phone
- (646) 669-3664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
5 Port Imperial Blvd Apt 126
Weehawken, NJ 07086-7680
Mailing address
5 Port Imperial Blvd Apt 126
Weehawken, NJ 07086-7680
Phone (646) 669-3664
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1366396269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PORT IMPERIAL BLVD APT 126",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070867680",
"telephone_number": "646-669-3664",
"fax_number": "646-669-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PORT IMPERIAL BLVD APT 126",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070867680",
"telephone_number": "646-669-3664",
"fax_number": "646-669-3664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHOR LIFE SUPPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-26",
"last_updated": "2026-02-26",
"certification_date": "2026-02-25",
"status": "A",
"authorized_official_last_name": "ADOM",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "646-669-3664"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weehawken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.