Easter Seals New Jersey
Organization Active NPI Community/Behavioral Health Agency · Toms River, NJ
NPI 1366822157 · NPPES record last updated Jun 5, 2015
Key facts
- NPI
- 1366822157
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- EASTER SEALS NEW JERSEY
- Practice address
- 959 Alexandria Dr
Toms River, NJ 08753-2201 - Phone
- (732) 279-1266
- Fax
- (732) 279-1491
- NPI assigned
- Jun 5, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Brian J Fitzgerald
- Title
- President
- Phone
- (732) 257-6662
Corporate family (same tax ID) 33
National Provider Directory
- Tax ID family
- Easter Seals New Jersey
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
959 Alexandria Dr
Toms River, NJ 08753-2201
Mailing address
25 Kennedy Blvd
Suite 600
East Brunswick, NJ 08816-1259
Phone (732) 257-6662
Other names
- ESNJ - Alexandria (S)
NPI Registry JSON
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433462400000",
"number": "1366822157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 KENNEDY BLVD",
"address_2": "SUITE 600",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161259",
"telephone_number": "732-257-6662",
"fax_number": "732-257-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 ALEXANDRIA DR",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087532201",
"telephone_number": "732-279-1266",
"fax_number": "732-279-1491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTER SEALS NEW JERSEY",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-05",
"last_updated": "2015-06-05",
"status": "A",
"authorized_official_last_name": "FITZGERALD",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-257-6662",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ESNJ - Alexandria (S)",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Toms River, NJ
- East Orange Vamc
- East Orange Vamc
- Norman William Eastburn
- Easter Seals New Jersey
- Easter Seals New Jersey
- Easter Seals New Jersey
- Easter Seals New Jersey
- Easter Seals New Jersey
- Easter Seals New Jersey
- Easter Seals New Jersey
All providers in Toms River, NJ · Community/Behavioral Health Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.