Organization Active NPI

Pennreach

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Avenel, NJ
National Provider Identifier
1396300117
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
PENNREACH
Practice address
1482 Rahway Avenue
Apt 227
Avenel, NJ 07001
Phone
(215) 409-5519
NPI assigned
May 7, 2019
Last updated
May 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Pauline Bailo
Title
Director
Phone
(215) 409-5519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

1482 Rahway Avenue
Apt 227
Avenel, NJ 07001

Mailing address

18 S Main St
Allentown, NJ 08501-1610
Phone (215) 409-5519

Other practice location 1

1482 Rahway Avenue
apt 203
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 2

1482 Rahway Avenue
apt 204
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 3

1482 Rahway Avenue
apt 212
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 4

1482 Rahway Avenue
apt 225
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 5

1482 Rahway Avenue
apt 106
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 6

1482 Rahway Avenue
apt 119
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 7

1482 Rahway Avenue
apt 117
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 8

1482 Rahway Avenue
apt 113
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 9

1482 Rahway Avenue
apt 104
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 10

1482 Rahway Avenue
apt 116
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 11

1482 Rahway Avenue
apt 114
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 12

1482 Rahway Avenue
apt 111
Avenel, NJ 07001
Phone (215) 409-5519

Other practice location 13

1482 Rahway Avenue
apt 110
Avenel, NJ 07001
Phone (215) 409-5519

National Provider Directory

National Provider Directory
Tax ID family
Pennreach87 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

Locations

1482 Rahway Ave
Apt 104
Avenel, NJ 07001

1482 Rahway Ave
Apt 106
Avenel, NJ 07001

1482 Rahway Ave
Apt 110
Avenel, NJ 07001

1482 Rahway Ave
Apt 111
Avenel, NJ 07001

1482 Rahway Ave
Apt 113
Avenel, NJ 07001

1482 Rahway Ave
Apt 114
Avenel, NJ 07001

1482 Rahway Ave
Apt 116
Avenel, NJ 07001

1482 Rahway Ave
Apt 117
Avenel, NJ 07001

1482 Rahway Ave
Apt 119
Avenel, NJ 07001

1482 Rahway Ave
Apt 203
Avenel, NJ 07001

1482 Rahway Ave
Apt 204
Avenel, NJ 07001

1482 Rahway Ave
Apt 212
Avenel, NJ 07001

1482 Rahway Ave
Apt 225
Avenel, NJ 07001

1482 Rahway Ave
Apt 227
Avenel, NJ 07001

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1396300117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011610",
            "telephone_number": "215-409-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 RAHWAY AVENUE",
            "address_2": "APT 227",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "07001",
            "telephone_number": "215-409-5519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 203",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 204",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 212",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 225",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 106",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 119",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 117",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 113",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 104",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 116",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 114",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 111",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1482 Rahway Avenue",
            "address_2": "apt 110",
            "address_purpose": "LOCATION",
            "city": "Avenel",
            "state": "NJ",
            "postal_code": "07001",
            "country_code": "US",
            "telephone_number": "215-409-5519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENNREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "BAILO",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-409-5519"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.