Nubian Keepers Initiative, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NUBIAN KEEPERS INITIATIVE, INC

Practice address

175 Munn Ave
Irvington, NJ 07111-2745

Phone

(732) 600-1334

NPI assigned

Apr 11, 2017

Last updated

Apr 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Armstrong CampbellNPI 1497288955

Title

President

Phone

(732) 600-1334

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Campbell

  • Lodging Provider
  • Irvington, NJ
  • NPI 1497288955
  NPD (past) Authorized official

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1417480971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077310493",
            "telephone_number": "732-600-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MUNN AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112745",
            "telephone_number": "732-600-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUBIAN KEEPERS INITIATIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ARMSTRONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-600-1334",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.