NPIMap

Organization Active NPI

Pride Day Program Eclc of NJ

  • Developmentally Disabled Services Day Training Agency
  • Chatham, NJ
National Provider Identifier
1497099808
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PRIDE DAY PROGRAM ECLC OF NJ
Practice address
100 Passaic Ave
Chatham, NJ 07928-2848
Phone
(973) 635-1705
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Ms. Dorothea Libman
Title
Director
Phone
(973) 635-1705

Specialties & licenses 1

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

Addresses

Primary practice location

100 Passaic Ave
Chatham, NJ 07928-2848

Mailing address

100 Passaic Ave
Chatham, NJ 07928-2848
Phone (973) 635-1705

National Provider Directory

National Provider Directory
Tax ID family
Pride Day Program Eclc of NJ5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1497099808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASSAIC AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282848",
            "telephone_number": "973-635-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASSAIC AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282848",
            "telephone_number": "973-635-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE DAY PROGRAM ECLC OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "LIBMAN",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-635-1705",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.