Active NPI
Elwyn New Jersey
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Sicklerville, NJ
National Provider Identifier
1417471772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ELWYN NEW JERSEY
- Practice address
- 838 Richmond Dr
Sicklerville, NJ 08081-9456 - Phone
- (856) 374-8745
- NPI assigned
- Jul 28, 2017
- Last updated
- Aug 18, 2022
- Organization subpart
- Yes
- Parent organization
- ELWYN NEW JERSEY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NJ | Primary |
Addresses
Primary practice location
838 Richmond Dr
Sicklerville, NJ 08081-9456
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 Jersey
- Part of
- Elwyn New Jersey
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Millville, NJ
- NPI 1285158956
-
- Developmentally Disabled Services Day Training Agency
- Vineland, NJ
- NPI 1306229117
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Vineland, NJ
- NPI 1306360375
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Folsom, NJ
- NPI 1306364773
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Millville, NJ
- NPI 1316461601
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Glassboro, NJ
- NPI 1316461809
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Vineland, NJ
- NPI 1366978595
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Millville, NJ
- NPI 1376067041
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Folsom, NJ
- NPI 1376070003
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Millville, NJ
- NPI 1386170520
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Vineland, NJ
- NPI 1407370794
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pitman, NJ
- NPI 1417471707
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": "1417471772",
"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": "838 RICHMOND DR",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080819456",
"telephone_number": "856-374-8745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELWYN NEW JERSEY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELWYN NEW JERSEY",
"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 Sicklerville, 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.