Organization Active NPI

Camden Prep, Uncommon Schools

  • School Social Worker
  • Camden, NJ
National Provider Identifier
1366912420
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
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 SCHOOLSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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)CodeLicenseStatePrimary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Verify at the official NPI Registry.