NPIMap

Organization Active NPI

Occupational Training Center of Burlington County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Burlington, NJ
National Provider Identifier
1396129649
Registry record updated Feb 28, 2023
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
OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY
Practice address
1570 Burlington Jacksonville Rd
Burlington, NJ 08016
Phone
(609) 267-6677
Fax
(609) 265-8418
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Mr. Isaac Lynn Manning, BA
Title
Ceo
Phone
(609) 267-6677

Specialties & licenses 1

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

Addresses

Primary practice location

1570 Burlington Jacksonville Rd
Burlington, NJ 08016

Mailing address

2 Manhattan Dr
Burlington, NJ 08016-4120
Phone (609) 267-6677

National Provider Directory

National Provider Directory
Tax ID family
O39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Locations

1570 Jacksonville Rd
Burlington, NJ 08016
Phone (609) 267-6677

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1396129649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MANHATTAN DR",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164120",
            "telephone_number": "609-267-6677",
            "fax_number": "609-267-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 BURLINGTON JACKSONVILLE RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "08016",
            "telephone_number": "609-267-6677",
            "fax_number": "609-265-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2023-02-28",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-267-6677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.