NPIMap

Organization Active NPI

The Arc, Warren County Chapter

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Port Murray, NJ
National Provider Identifier
1396284097
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH245 Issued in NJ
Legal business name
THE ARC, WARREN COUNTY CHAPTER
Practice address
20 Karrville Rd
Port Murray, NJ 07865-4121
Phone
(908) 689-2710
Fax
(908) 689-2888
NPI assigned
Feb 15, 2017
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Mr. Robert Alexander Pruznick
Title
Ceo
Phone
(908) 689-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH245 NJ Primary

Addresses

Primary practice location

20 Karrville Rd
Port Murray, NJ 07865-4121

Mailing address

319 W Washington Ave
Washington, NJ 07882-2157
Phone (908) 689-7525

Other identifiers 5

IdentifierTypeStateIssuer
1710229778MedicaidNJ
1063950012MedicaidNJ
1073051025MedicaidNJ
1508304395MedicaidNJ
1962940742MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
The Arc Warren County Chapter35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1396284097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W WASHINGTON AVE",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822157",
            "telephone_number": "908-689-7525",
            "fax_number": "908-689-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 KARRVILLE RD",
            "city": "PORT MURRAY",
            "state": "NJ",
            "postal_code": "078654121",
            "telephone_number": "908-689-2710",
            "fax_number": "908-689-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC, WARREN COUNTY CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "PRUZNICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-689-7525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710229778",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063950012",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073051025",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508304395",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962940742",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Murray, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.