NPIMap

Organization Active NPI

The Arc of Union County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fanwood, NJ
National Provider Identifier
1467945352
Registry record updated Sep 4, 2019
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
THE ARC OF UNION COUNTY
Practice address
1 2ND St Apt 5B
Fanwood, NJ 07023-1238
Phone
(973) 315-0000
Fax
(973) 315-0002
NPI assigned
Jun 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Susan A Luckman, MSW
Title
Assistant Executive Director
Phone
(973) 315-0070

Specialties & licenses 1

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

Addresses

Primary practice location

1 2ND St Apt 5B
Fanwood, NJ 07023-1238

Mailing address

70 Diamond Rd
Springfield, NJ 07081-3119
Phone (973) 315-0000

Other identifiers 1

IdentifierTypeStateIssuer
0471062MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Union County47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1467945352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DIAMOND RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813119",
            "telephone_number": "973-315-0000",
            "fax_number": "973-315-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 2ND ST APT 5B",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231238",
            "telephone_number": "973-315-0000",
            "fax_number": "973-315-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF UNION COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "LUCKMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-315-0070",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471062",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.