Organization Active NPI

Refocus

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Eatontown, NJ
National Provider Identifier
1417419169
Registry record updated Apr 2, 2019
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
REFOCUS
Practice address
613 Hope Road
Building 5 and 2
Eatontown, NJ 07724
Phone
(732) 343-1478
NPI assigned
Apr 2, 2019
Last updated
Apr 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Michele Goodman Emmerich, M.ED., M.S.
Title
Ceo
Phone
(732) 343-1478

Specialties & licenses 1

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

Addresses

Primary practice location

613 Hope Road
Building 5 and 2
Eatontown, NJ 07724

Mailing address

613 Hope Rd
Eatontown, NJ 07724-1278
Phone (732) 343-1478

Other identifiers 1

IdentifierTypeStateIssuer
0642690MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL goodman@refocusautism.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Refocus3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

613 Hope Rd
Ste 2
Eatontown, NJ 07724
Phone (732) 343-1478

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1417419169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 HOPE RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241278",
            "telephone_number": "732-343-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 HOPE ROAD",
            "address_2": "BUILDING 5 AND 2",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-343-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFOCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "GOODMAN EMMERICH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-343-1478",
        "authorized_official_credential": "M.ED., M.S."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0642690",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "goodman@refocusautism.com",
            "affiliation": "N",
            "endpointDescription": "owner email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "613 Hope Road",
            "address_2": "Building 5 and 2",
            "city": "Eatontown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.