NPIMap

Organization Active NPI

Iyaho Social Services of New Jersey, Inc

  • Respite Care
  • East Orange, NJ
National Provider Identifier
1366939571
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
IYAHO SOCIAL SERVICES OF NEW JERSEY, INC
Practice address
137 Evergreen PL Ste 3a
East Orange, NJ 07018-2007
Phone
(862) 253-4646
NPI assigned
Apr 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Henry Eromosele
Title
Executive Director
Phone
(516) 280-5930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X NJ Primary

Addresses

Primary practice location

137 Evergreen PL Ste 3a
East Orange, NJ 07018-2007

Mailing address

71 N Franklin St Ste 211
Hempstead, NY 11550-3048
Phone (516) 280-5930

National Provider Directory

National Provider Directory
Tax ID family
Iyaho Social Services of New Jersey Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

71 N Franklin St
Ste 211
Hempstead, NY 11550
Phone (516) 280-5930

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1366939571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 N FRANKLIN ST STE 211",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503048",
            "telephone_number": "516-280-5930",
            "fax_number": "516-280-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 EVERGREEN PL STE 3A",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182007",
            "telephone_number": "862-253-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYAHO SOCIAL SERVICES OF NEW JERSEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "EROMOSELE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-280-5930"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.