NPIMap

Organization Active NPI

Willowglen Academy-New Jersey, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Medford, NJ
National Provider Identifier
1457736126
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
WILLOWGLEN ACADEMY-NEW JERSEY, INC.
Practice address
96 Tallowood Drive
Medford, NJ 08055
Phone
(973) 579-3700
Fax
(973) 579-1786
NPI assigned
Jul 23, 2015
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLOWGLEN ACADEMY-NEW JERSEY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Mrs. Patricia Bates
Title
Controller
Phone
(973) 579-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

96 Tallowood Drive
Medford, NJ 08055

Mailing address

8 Wilson Drive
Sparta, NJ 07871-3491
Phone (973) 579-3700

Other names 1

  • WGA Tallowood Other name

National Provider Directory

National Provider Directory
Tax ID family
Willowglen Academy - New Jersey Inc60 organizations share this tax ID, including this one
Part of
Willowglen Academy - New Jersey Inc

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": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1457736126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILSON DRIVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713491",
            "telephone_number": "973-579-3700",
            "fax_number": "973-579-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 TALLOWOOD DRIVE",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "08055",
            "telephone_number": "973-579-3700",
            "fax_number": "973-579-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWGLEN ACADEMY-NEW JERSEY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOWGLEN ACADEMY-NEW JERSEY, INC.",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "973-579-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WGA Tallowood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.