Active NPI
Refocus
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Eatontown, NJ
National Provider Identifier
1417419169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0642690 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | goodman@refocusautism.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Refocus
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Freehold, NJ
- NPI 1306342373
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mahwah, NJ
- NPI 1295399319
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.