NPIMap

Organization Active NPI

Mercy Drive Regional Corporation

  • Developmentally Disabled Services Day Training Agency
  • Newark, NJ
National Provider Identifier
1487185286
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MERCY DRIVE REGIONAL CORPORATION
Practice address
498-500 Ferry Street 1St Floor
Newark, NJ 07105
Phone
(718) 725-9895
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Christabella Cochran
Title
Owner
Phone
(718) 725-9895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NJ Primary

Addresses

Primary practice location

498-500 Ferry Street 1St Floor
Newark, NJ 07105

Mailing address

498-500 Ferry Street
Newark, NJ 07105

National Provider Directory

National Provider Directory
Tax ID family
Mercy Drive Regional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1487185286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498-500 FERRY STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498-500 FERRY STREET 1ST FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "718-725-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY DRIVE REGIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "CHRISTABELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-725-9895"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

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