NPIMap

Organization Active NPI

State of New Jersey Omb Centralized Payroll

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Avenel, NJ
National Provider Identifier
1487680294
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Practice address
1275 Rahway Avenue
Avenel, NJ 07095-0189
Phone
(732) 499-5951
NPI assigned
Jun 23, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Michael Crooks, M.D.
Title
Medical Director
Phone
(732) 499-5673

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1275 Rahway Avenue
Avenel, NJ 07095-0189

Mailing address

1275 Rahway Avenue
P.O. Box 189
Avenel, NJ 07095-0189
Phone (732) 499-5951

Other names 1

NPPES NPI Registry
  • Woodbridge Developmental Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2008.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1487680294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 RAHWAY AVENUE",
            "address_2": "P.O. BOX 189",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070950189",
            "telephone_number": "732-499-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 RAHWAY AVENUE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070950189",
            "telephone_number": "732-499-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "CROOKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-499-5673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbridge Developmental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.