Active NPI
Jersey Association for Autistic Children- Brainbuilders
- Community/Behavioral Health Agency
- Lakewood, NJ
National Provider Identifier
1578840211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 000
- Legal business name
- JERSEY ASSOCIATION FOR AUTISTIC CHILDREN- BRAINBUILDERS
- Practice address
- 761 River Ave Ste D
Lakewood, NJ 08701-5200 - Phone
- (732) 534-5342
- NPI assigned
- Nov 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chevy Nussbaum, DIRECTOR
- Title
- Director
- Phone
- (732) 534-5342
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 000 | NJ | Primary |
Addresses
Primary practice location
761 River Ave Ste D
Lakewood, NJ 08701-5200
Mailing address
761 River Ave Ste D
Lakewood, NJ 08701-5200
Phone (732) 534-5342
National Provider Directory
National Provider DirectoryLocations
761 River Ave
Ste D
Lakewood, NJ 08701
Phone (732) 534-5342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1578840211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 RIVER AVE STE D",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015200",
"telephone_number": "732-534-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 RIVER AVE STE D",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015200",
"telephone_number": "732-534-5342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY ASSOCIATION FOR AUTISTIC CHILDREN- BRAINBUILDERS",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NUSSBAUM",
"authorized_official_first_name": "CHEVY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-534-5342",
"authorized_official_credential": "DIRECTOR"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.