Organization Active NPI

The Villa at Florham Park Inc.

  • Alzheimer Center (Dementia Center)
  • Florham Park, NJ
National Provider Identifier
1376015982
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
THE VILLA AT FLORHAM PARK INC.
Practice address
190 Park Ave
Florham Park, NJ 07932-1049
Phone
(973) 867-1514
NPI assigned
Dec 20, 2018
Organization subpart
Yes
Parent organization
THE VILLA AT FLORHAM PARK INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Jennifer Cripps
Title
Cfo
Phone
(609) 699-4131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

190 Park Ave
Florham Park, NJ 07932-1049

Mailing address

3 Manhattan Dr
Burlington, NJ 08016-4119
Phone (609) 386-7171

Other identifiers 1

IdentifierTypeStateIssuer
14C014OtherNJLICENSE

Other names 1

  • The Villa at Florham Park, Inc. CPC Other name

National Provider Directory

National Provider Directory
Tax ID family
The Villa at Florham Park Inc2 organizations share this tax ID, including this one
Part of
The Villa at Florham Park Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1376015982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MANHATTAN DR",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164119",
            "telephone_number": "609-386-7171",
            "fax_number": "609-386-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PARK AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321049",
            "telephone_number": "973-867-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLA AT FLORHAM PARK INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE VILLA AT FLORHAM PARK INC.",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "CRIPPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-699-4131"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14C014",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villa at Florham Park, Inc. CPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.