NPIMap

Organization Active NPI

Community Options Enterprises, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Newark, NJ
National Provider Identifier
1386149011
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH1119A Issued in NJ
Legal business name
COMMUNITY OPTIONS ENTERPRISES, INC.
Practice address
504-506 Mount Prospect Ave
Newark, NJ 07104
Phone
(609) 951-9900
Fax
(609) 951-5112
NPI assigned
Mar 26, 2018
Last updated
Mar 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Belgica Victoria Cedeno
Title
Controller
Phone
(609) 951-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH1119A NJ Primary

Addresses

Primary practice location

504-506 Mount Prospect Ave
Newark, NJ 07104

Mailing address

16 Farber Rd
Princeton, NJ 08540-5913
Phone (609) 951-9900

Other identifiers 1

IdentifierTypeStateIssuer
GH1119AMedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Community Options Enterprises Inc52 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": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1386149011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FARBER RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405913",
            "telephone_number": "609-951-9900",
            "fax_number": "609-951-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504-506 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07104",
            "telephone_number": "609-951-9900",
            "fax_number": "609-951-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OPTIONS ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "CEDENO",
        "authorized_official_first_name": "BELGICA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "609-951-9900"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH1119A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GH1119A",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.