Organization Active NPI

Sierra Social Services

  • Physical Disabilities Residential Treatment Facility
  • Edison, NJ
National Provider Identifier
1538600689
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
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

Updated by the provider on Mar 9, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.