Active NPI
Camden Prep, Uncommon Schools
- School Social Worker
- Camden, NJ
National Provider Identifier
1366912420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Legal business name
- CAMDEN PREP, UNCOMMON SCHOOLS
- Practice address
- 1650 Copewood St
Camden, NJ 08103-3001 - Phone
- (856) 605-5520
- NPI assigned
- Dec 3, 2018
- Organization subpart
- Yes
- Parent organization
- CAMDEN PREP, UNCOMMON SCHOOLS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Phil Gartenberg
- Title
- Interim Cfo
- Phone
- (201) 906-5592
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary | ||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1650 Copewood St
Camden, NJ 08103-3001
Mailing address
263 West 38TH Street
10TH Floor, West, Uncommon Schools
New York, NY 10018
Phone (646) 774-2150
National Provider Directory
National Provider Directory- Part of
- Camden Prep Uncommon Schools
Locations
1650 Copewood St
Camden, NJ 08103
Phone (856) 605-5520
1575 Mount Ephraim Ave
Camden, NJ 08104
263 W 38th St
Fl 10
New York, NY 10018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1366912420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 WEST 38TH STREET",
"address_2": "10TH FLOOR, WEST, UNCOMMON SCHOOLS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10018",
"telephone_number": "646-774-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COPEWOOD ST",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081033001",
"telephone_number": "856-605-5520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMDEN PREP, UNCOMMON SCHOOLS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAMDEN PREP, UNCOMMON SCHOOLS",
"enumeration_date": "2018-12-03",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "GARTENBERG",
"authorized_official_first_name": "PHIL",
"authorized_official_title_or_position": "INTERIM CFO",
"authorized_official_telephone_number": "201-906-5592",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.