Active NPI
The Villa at Florham Park Inc.
- Alzheimer Center (Dementia Center)
- Florham Park, NJ
National Provider Identifier
1376015982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14C014 | Other | NJ | LICENSE |
Other names 1
- The Villa at Florham Park, Inc. CPC
National Provider Directory
National Provider Directory- Tax ID family
- The Villa at Florham Park Inc
- 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.
-
- Assisted Living Facility
- Florham Park, NJ
- NPI 1518321215
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.
-
- Skilled Nursing Facility
- Florham Park, NJ
- NPI 1093174955
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.