NPIMap

Organization Active NPI

Archway Programs, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Freehold, NJ
National Provider Identifier
1508385113
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ARCHWAY PROGRAMS, INC.
Practice address
2 Lutea Ter
Freehold, NJ 07728-2839
Phone
(856) 767-5757
NPI assigned
Sep 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Authorized official

Name
Shawn Gibson
Title
Chief Operating Officer
Phone
(856) 767-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2 Lutea Ter
Freehold, NJ 07728-2839

Mailing address

PO Box 668
Atco, NJ 08004-0668
Phone (856) 767-5757

Other identifiers 1

IdentifierTypeStateIssuer
0483931MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Archway Programs17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1508385113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080040668",
            "telephone_number": "856-767-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LUTEA TER",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282839",
            "telephone_number": "856-767-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "856-767-5757"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483931",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.