Elwyn New Jersey

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ELWYN NEW JERSEY

Practice address

523 Alcyon Blvd
Pitman, NJ 08071-1804

Phone

(856) 589-6397

Fax

(856) 589-2770

NPI assigned

May 4, 2017

Last updated

Aug 12, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ELWYN NEW JERSEYAs reported in NPPES

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

Authorized official

Name

Mr. William Hartley

Title

Executive Director

Phone

(856) 794-5300

Specialties & licenses 1

Addresses

Tax ID family

Elwyn New Jersey72 organizations share this tax ID, including this one

Part of

Elwyn New Jersey

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.

• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1366978595
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Millville, NJ
  • NPI 1376067041
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Folsom, NJ
  • NPI 1376070003
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Millville, NJ
  • NPI 1386170520
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1407370794
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pitman, NJ
  • NPI 1417471707
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sicklerville, NJ
  • NPI 1417471772
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Glassboro, NJ
  • NPI 1427512599
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1427572718
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1437673720
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Vineland, NJ
  • NPI 1457887689
  NPD tax ID
• Elwyn New Jersey

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mullica Hill, NJ
  • NPI 1457910002
  NPD tax ID

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1497281877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W LANDIS AVE BLDG C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608138",
            "telephone_number": "856-794-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ALCYON BLVD",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711804",
            "telephone_number": "856-589-6397",
            "fax_number": "856-589-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN NEW JERSEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELWYN NEW JERSEY",
        "enumeration_date": "2017-05-04",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-794-5300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilisi Family Medicine,LLC
• Joseph P Dilisi, D.O.
• Celestine Dyson, LPN
• Elizabeth Nicole Ealer, MA, LPC, LCADC
• Elwyn New Jersey
• Elwyn New Jersey
• Elwyn New Jersey
• Enlighten Well LLC
• Judi Errico
• Evolve Therapeutic Services

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pitman, NJ
• Providers in Pitman, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.