NPIMap

Organization Active NPI

New Jersey Community Development Corporation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Haledon, NJ
National Provider Identifier
1548898463
Registry record updated Mar 27, 2020
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
NEW JERSEY COMMUNITY DEVELOPMENT CORPORATION
Practice address
46 Kossuth St # 1
Haledon, NJ 07508-1512
Phone
(973) 413-1600
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Boris Zaydel
Title
Compliance Director
Phone
(973) 413-1600

Specialties & licenses 1

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

Addresses

Primary practice location

46 Kossuth St # 1
Haledon, NJ 07508-1512

Mailing address

PO Box 6976
Paterson, NJ 07509-6976
Phone (862) 221-1138

National Provider Directory

National Provider Directory
Tax ID family
New Jersey Community Development Corporation20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1548898463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6976",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075096976",
            "telephone_number": "862-221-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 KOSSUTH ST # 1",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081512",
            "telephone_number": "973-413-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "ZAYDEL",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "973-413-1600"
    },
    "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": []
}

Other providers in Haledon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.