Organization Active NPI

Restorative Programming, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Camden, NJ
National Provider Identifier
1376760942
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1590 Issued in NJ
Legal business name
RESTORATIVE PROGRAMMING, INC
Practice address
1770 Mt. Ephraim Ave
Camden, NJ 08104
Phone
(856) 635-0200
Fax
(856) 635-0292
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David M Safchik
Title
Controller
Phone
(609) 434-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1590 NJ Primary

Addresses

Primary practice location

1770 Mt. Ephraim Ave
Camden, NJ 08104

Mailing address

1901 North Olden Ave
Suite 13a
Trenton, NJ 08618
Phone (609) 434-1003

Other names 1

  • Capital Academy Other name

National Provider Directory

National Provider Directory

Locations

1770 Mount Ephraim Ave
Camden, NJ 08104
Phone (609) 434-1001

Practitioners & affiliated clinicians

Practitioners 1

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376760942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NORTH OLDEN AVE",
            "address_2": "SUITE 13A",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08618",
            "telephone_number": "609-434-1003",
            "fax_number": "609-434-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 MT. EPHRAIM AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08104",
            "telephone_number": "856-635-0200",
            "fax_number": "856-635-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PROGRAMMING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAFCHIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "609-434-1003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NJ",
            "license": "1590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Academy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.