NPIMap

Organization Active NPI

Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Audubon, NJ
National Provider Identifier
1558897900
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
TBI054 Issued in NJ
Legal business name
BANCROFT NEUROHEALTH
Practice address
4 Payson Ave
Audubon, NJ 08106
Phone
(800) 774-5516
NPI assigned
May 4, 2017
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Jennifer Cripps, CPA
Title
Chief Financial Officer
Phone
(856) 348-1196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X TBI054 NJ Primary

Addresses

Primary practice location

4 Payson Ave
Audubon, NJ 08106

Mailing address

1255 Caldwell Rd
Cherry Hill, NJ 08034-3220
Phone (856) 348-1181

Other names 1

  • Bancroft-Payson Ave Other name

National Provider Directory

National Provider Directory
Tax ID family
Bancroft a New Jersey Nonprofit Corporation251 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1558897900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 CALDWELL RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343220",
            "telephone_number": "856-348-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PAYSON AVE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "08106",
            "telephone_number": "800-774-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT NEUROHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CRIPPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "856-348-1196",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "TBI054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bancroft-Payson Ave",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bancroft-Payson Ave",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Audubon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.