NPIMap

Organization Active NPI

Jewish Association for Developmental Disabilities

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Township of Washington, NJ
National Provider Identifier
1477087088
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH560 Issued in NJ
Legal business name
JEWISH ASSOCIATION FOR DEVELOPMENTAL DISABILITIES
Practice address
541 Ridgewood Blvd N
Township of Washington, NJ 07676-4122
Phone
(201) 722-0459
Fax
(201) 722-9001
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Dr. John J Winer, PHD
Title
Executive Director
Phone
(201) 457-0058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH560 NJ Primary

Addresses

Primary practice location

541 Ridgewood Blvd N
Township of Washington, NJ 07676-4122

Mailing address

190 Moore St
Suite 272
Hackensack, NJ 07601-7424
Phone (201) 457-0058

Other names 1

  • J-ADD Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jewish Association for Developmental Disabilities16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

190 Moore St
Ste 272
Hackensack, NJ 07601
Phone (201) 457-0058

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": "1492646400000",
    "number": "1477087088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MOORE ST",
            "address_2": "SUITE 272",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017424",
            "telephone_number": "201-457-0058",
            "fax_number": "201-457-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 RIDGEWOOD BLVD N",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764122",
            "telephone_number": "201-722-0459",
            "fax_number": "201-722-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH ASSOCIATION FOR DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "WINER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-457-0058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J-ADD Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Township of Washington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.