NPIMap

Organization Active NPI

NJ Ecc

  • Developmentally Disabled Services Day Training Agency
  • Livingston, NJ
National Provider Identifier
1396347357
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
NJ ECC
Practice address
30-34 Okner Pkwy
Livingston, NJ 07039-1649
Phone
(304) 282-1310
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Dawn Willis
Title
Ceo
Phone
(201) 819-9061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

30-34 Okner Pkwy
Livingston, NJ 07039-1649

Mailing address

30-34 Okner Pkwy
Livingston, NJ 07039-1649

Other identifiers 1

IdentifierTypeStateIssuer
0612561MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
NJ Ecc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

30-34 Okner Pkwy
Livingston, NJ 07039
Phone (304) 282-1310

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1396347357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30-34 OKNER PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-34 OKNER PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391649",
            "telephone_number": "304-282-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ ECC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-819-9061"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0612561",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.