NPIMap

Organization Active NPI

Kelsch Associates Inc. New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Blackwood, NJ
National Provider Identifier
1376053777
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
KELSCH ASSOCIATES INC. NEW JERSEY
Practice address
736 Graisbury Ave
Blackwood, NJ 08012-4049
Phone
(856) 456-2022
Fax
(856) 456-4372
NPI assigned
Oct 11, 2017
Last updated
Oct 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Patti Amoriello
Title
Executive Director
Phone
(856) 456-2022

Specialties & licenses 1

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

Addresses

Primary practice location

736 Graisbury Ave
Blackwood, NJ 08012-4049

Mailing address

368 Broadway
Westville, NJ 08093-1193
Phone (856) 456-2022

National Provider Directory

National Provider Directory
Tax ID family
Kelsch at Woodbury Ats93 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1376053777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 BROADWAY",
            "city": "WESTVILLE",
            "state": "NJ",
            "postal_code": "080931193",
            "telephone_number": "856-456-2022",
            "fax_number": "856-456-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 GRAISBURY AVE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124049",
            "telephone_number": "856-456-2022",
            "fax_number": "856-456-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSCH ASSOCIATES INC. NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "AMORIELLO",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-456-2022"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.