Organization Active NPI

Goshen Healthcare Group LLC

  • Developmentally Disabled Services Day Training Agency
  • Irvington, NJ
National Provider Identifier
1538977798
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GOSHEN HEALTHCARE GROUP LLC
Practice address
59 Delmar PL
Irvington, NJ 07111-2605
Phone
(862) 371-3926
NPI assigned
Dec 20, 2024
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Sunday Adesina
Title
Ceo
Phone
(862) 371-3926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

59 Delmar PL
Irvington, NJ 07111-2605

Mailing address

59 Delmar PL
Irvington, NJ 07111-2605
Phone (862) 371-3926

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1538977798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DELMAR PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112605",
            "telephone_number": "862-371-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DELMAR PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112605",
            "telephone_number": "862-371-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "ADESINA",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-371-3926"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.