NPIMap

Organization Active NPI

Merakey New Jersey

  • Community/Behavioral Health Agency
  • Deptford, NJ
National Provider Identifier
1447893169
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MERAKEY NEW JERSEY
Practice address
705 Hancock CT
Deptford, NJ 08096-5119
Phone
(215) 836-3131
Fax
(215) 273-5975
NPI assigned
Oct 25, 2019
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Mr. Norman E Tilson Jr.
Title
Corp Sr Director of Business Ops
Phone
(215) 836-3131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

705 Hancock CT
Deptford, NJ 08096-5119

Mailing address

620 Germantown Pike
Lafayette Hill, PA 19444-1810
Phone (215) 836-3131

National Provider Directory

National Provider Directory
Tax ID family
Merakey New Jersey29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1447893169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GERMANTOWN PIKE",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441810",
            "telephone_number": "215-836-3131",
            "fax_number": "215-273-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 HANCOCK CT",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080965119",
            "telephone_number": "215-836-3131",
            "fax_number": "215-273-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAKEY NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "TILSON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CORP SR DIRECTOR OF BUSINESS OPS",
        "authorized_official_telephone_number": "215-836-3131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.