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Cerebral Palsy of North Jersey

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Orange, NJ

NPI 1508245168 · NPPES record last updated Aug 29, 2022

Key facts

NPI
1508245168
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
CEREBRAL PALSY OF NORTH JERSEY
Practice address
26 N Center St
Orange, NJ 07050-3763
Phone
(973) 674-6274
Fax
(973) 674-4491
NPI assigned
May 28, 2015
Organization subpart
No

Authorized official

Name
Mr. Rick Bornstein, CPA
Title
Cfo
Phone
(973) 821-8107

Corporate family (same tax ID) 41

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

View all 41

National Provider Directory

Tax ID family
Cerebral Palsy of North Jersey (42 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Secured Medical Transport (VAN) 343800000X
Respite Care 385H00000X

Addresses

Primary practice location

26 N Center St
Orange, NJ 07050-3763

Mailing address

220 S Orange Ave
Suite 300
Livingston, NJ 07039-5804
Phone (973) 763-9900

Other identifiers

IdentifierTypeStateIssuer
0479268MedicaidNJ

Other providers in Orange, NJ

All providers in Orange, NJ · Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.