Active NPI
Pennreach
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Allentown, NJ
National Provider Identifier
1467979039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- PENNREACH
- Practice address
- 18 S Main St
Allentown, NJ 08501-1610 - Phone
- (215) 475-2401
- NPI assigned
- Aug 24, 2017
- Last updated
- Mar 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pauline Bailo
- Title
- Program Director
- Phone
- (215) 475-2401
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
18 S Main St
Allentown, NJ 08501-1610
Mailing address
18 S Main St
Allentown, NJ 08501-1610
Other practice location 1
1998 Route 18 N
Apartment 105
Old Bridge, NJ 08857-3779
Phone (215) 475-2401
Other practice location 2
1998 Route 18 N
103
Old Bridge, NJ 08857-3779
Phone (215) 475-2401
Other practice location 3
1998 Route 18 N
Apartment 106
Old Bridge, NJ 08857
Phone (215) 475-2401
Other practice location 4
12C Gloria Robinson Ct
Jersey City, NJ 07306-7043
Phone (215) 475-2401
Other practice location 5
12A Gloria Robinson Ct
Jersey City, NJ 07306-7038
Phone (215) 475-2401
Other practice location 6
667 E 33rd St
Paterson, NJ 07513-1158
Phone (215) 475-2401
Other practice location 7
532 High St
Long Branch, NJ 07740-5510
Phone (215) 475-2401
Other practice location 8
161 Garrett Dr
Long Branch, NJ 07740-5587
Phone (215) 475-2401
Other practice location 9
163 Garrett Dr
Long Branch, NJ 07740-5587
Phone (215) 475-2401
Other practice location 10
213 Garrett Dr
Long Branch, NJ 07740-5593
Phone (215) 475-2401
Other practice location 11
220 Riviera Lane
Long Branch, NJ 07740
Phone (215) 475-2401
Other practice location 12
230 Riviera Lane
Long Branch, NJ 07740
Phone (215) 475-2401
Other practice location 13
1 Spring St
Bordentown, NJ 08505-1866
Phone (215) 475-2401
Other practice location 14
43 Park Blvd
Clementon, NJ 08201
Phone (215) 475-2401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710364385 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Pennreach
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Oceanport, NJ
- NPI 1336627090
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Edison, NJ
- NPI 1336767219
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Edison, NJ
- NPI 1346868213
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1376198275
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Avenel, NJ
- NPI 1396300117
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1417502345
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Westville, NJ
- NPI 1427513449
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1427603760
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Aberdeen, NJ
- NPI 1447730106
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Edison, NJ
- NPI 1447867981
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1467007823
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Long Branch, NJ
- NPI 1467966861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1467979039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 S MAIN ST",
"city": "ALLENTOWN",
"state": "NJ",
"postal_code": "085011610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S MAIN ST",
"city": "ALLENTOWN",
"state": "NJ",
"postal_code": "085011610",
"telephone_number": "215-475-2401"
}
],
"practiceLocations": [
{
"address_1": "1998 Route 18 N",
"address_2": "Apartment 105",
"address_purpose": "LOCATION",
"city": "Old Bridge",
"state": "NJ",
"postal_code": "088573779",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1998 Route 18 N",
"address_2": "103",
"address_purpose": "LOCATION",
"city": "Old Bridge",
"state": "NJ",
"postal_code": "088573779",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1998 Route 18 N",
"address_2": "Apartment 106",
"address_purpose": "LOCATION",
"city": "Old Bridge",
"state": "NJ",
"postal_code": "08857",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12C Gloria Robinson Ct",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073067043",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12A Gloria Robinson Ct",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073067038",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "667 E 33rd St",
"address_purpose": "LOCATION",
"city": "Paterson",
"state": "NJ",
"postal_code": "075131158",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "532 High St",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "077405510",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "161 Garrett Dr",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "077405587",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "163 Garrett Dr",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "077405587",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "213 Garrett Dr",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "077405593",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Riviera Lane",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "07740",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 Riviera Lane",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "07740",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Spring St",
"address_purpose": "LOCATION",
"city": "Bordentown",
"state": "NJ",
"postal_code": "085051866",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "43 Park Blvd",
"address_purpose": "LOCATION",
"city": "Clementon",
"state": "NJ",
"postal_code": "08201",
"country_code": "US",
"telephone_number": "215-475-2401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PENNREACH",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-24",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "BAILO",
"authorized_official_first_name": "PAULINE",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "215-475-2401"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710364385",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.