NPIMap

Organization Active NPI

The Open Door of NJ

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brick, NJ
National Provider Identifier
1548640477
Registry record updated Apr 29, 2021
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
THE OPEN DOOR OF NJ
Practice address
36 Beaumont Dr
Brick, NJ 08723-7916
Phone
(732) 408-5681
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Nicole Hall
Title
Residential Director
Phone
(732) 408-5681

Specialties & licenses 1

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

Addresses

Primary practice location

36 Beaumont Dr
Brick, NJ 08723-7916

Mailing address

1658 Lakewood Rd Ste 12
Toms River, NJ 08755-1280
Phone (732) 408-5681

Other names 1

  • Victory Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
The Open Door of New Jersey10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1548640477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 LAKEWOOD RD STE 12",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551280",
            "telephone_number": "732-408-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BEAUMONT DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237916",
            "telephone_number": "732-408-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPEN DOOR OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "RESIDENTIAL DIRECTOR",
        "authorized_official_telephone_number": "732-408-5681"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Group Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Victory Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.