Organization Active NPI

Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
National Provider Identifier
1407370794
Registry record updated Aug 18, 2022
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
ELWYN NEW JERSEY
Practice address
1677 Strathmore Ter
Vineland, NJ 08361-8410
Phone
(856) 205-1762
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Mr. William Hartley
Title
Executive Director
Phone
(856) 794-5300

Specialties & licenses 1

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

Addresses

Primary practice location

1677 Strathmore Ter
Vineland, NJ 08361-8410

Mailing address

228 W Landis Ave BLDG C
Vineland, NJ 08360-8138
Phone (856) 794-5300

National Provider Directory

National Provider Directory
Tax ID family
Elwyn New Jersey72 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

1677 Strathmore Ter
Vineland, NJ 08361
Phone (856) 205-1762

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1407370794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W LANDIS AVE BLDG C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608138",
            "telephone_number": "856-794-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 STRATHMORE TER",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618410",
            "telephone_number": "856-205-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-794-5300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.