NPIMap

Organization Active NPI

New Jersey Institute for Disabilities, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Barnegat, NJ
National Provider Identifier
1366923344
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH2595 Issued in NJ
Legal business name
NEW JERSEY INSTITUTE FOR DISABILITIES, INC
Practice address
7 Aspen Cir
Barnegat, NJ 08005-2019
Phone
(732) 549-6187
Fax
(732) 590-2431
NPI assigned
Aug 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Ferrara
Title
Executive Director
Phone
(732) 549-6187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH2595 NJ Primary

Addresses

Primary practice location

7 Aspen Cir
Barnegat, NJ 08005-2019

Mailing address

10A Oak Drive, Roosevelt Park
Edison, NJ 08837-2313
Phone (732) 549-6187

Other identifiers 1

IdentifierTypeStateIssuer
0463477MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy Association of Middlesex County41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1366923344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10A OAK DRIVE, ROOSEVELT PARK",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372313",
            "telephone_number": "732-549-6187",
            "fax_number": "732-590-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ASPEN CIR",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052019",
            "telephone_number": "732-549-6187",
            "fax_number": "732-590-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY INSTITUTE FOR DISABILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-549-6187",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH2595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463477",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnegat, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.