Active NPI
Sierra Social Services
- Physical Disabilities Residential Treatment Facility
- Edison, NJ
National Provider Identifier
1538600689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- Legal business name
- SIERRA SOCIAL SERVICES
- Practice address
- 15 Hill Rd
Edison, NJ 08817-4603 - Phone
- (732) 423-5397
- NPI assigned
- Mar 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed T Fofanah
- Title
- Co-Founder
- Phone
- (732) 423-5397
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | Primary |
Addresses
Primary practice location
15 Hill Rd
Edison, NJ 08817-4603
Mailing address
15 Hill Rd
Edison, NJ 08817-4603
Phone (732) 423-5397
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489017600000",
"number": "1538600689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HILL RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088174603",
"telephone_number": "732-423-5397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 HILL RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088174603",
"telephone_number": "732-423-5397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA SOCIAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-09",
"last_updated": "2017-03-09",
"status": "A",
"authorized_official_last_name": "FOFANAH",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "732-423-5397"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.