NPIMap

Organization Active NPI

Jewish Service for the Developmentally Disabled

  • Developmentally Disabled Services Day Training Agency
  • Livingston, NJ
National Provider Identifier
1417482050
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED
Practice address
310 Eisenhower Pkwy
Livingston, NJ 07039-1708
Phone
(973) 272-7141
Fax
(973) 992-1509
NPI assigned
Apr 20, 2017
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Mrs. Linda Press
Title
Executive Director
Phone
(973) 272-7141

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

310 Eisenhower Pkwy
Livingston, NJ 07039-1708

Mailing address

622 Eagle Rock Ave
West Orange, NJ 07052-2994
Phone (973) 272-7141

Other identifiers 1

IdentifierTypeStateIssuer
1437697596MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Jewish Service for the Developmentally Disabled52 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

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1417482050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522994",
            "telephone_number": "973-272-7141",
            "fax_number": "973-325-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391708",
            "telephone_number": "973-272-7141",
            "fax_number": "973-992-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "PRESS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-272-7141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437697596",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.