NPIMap

Organization Active NPI

Cerebral Palsy of North Jersey

  • Community/Behavioral Health Agency
  • Livingston, NJ
National Provider Identifier
1578968673
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
40QA01001600 Issued in NJ
Legal business name
CEREBRAL PALSY OF NORTH JERSEY
Practice address
220 S Orange Ave
Suite 300
Livingston, NJ 07039-5804
Phone
(973) 763-9900
Fax
(973) 488-6223
NPI assigned
Oct 31, 2014
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Mrs. Allison Tyler, LCSW
Title
Ican Program Director
Phone
(973) 763-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 40QA01001600 NJ Primary

Addresses

Primary practice location

220 S Orange Ave
Suite 300
Livingston, NJ 07039-5804

Mailing address

220 S Orange Ave
Suite 300
Livingston, NJ 07039-5804
Phone (973) 763-9900

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy of North Jersey42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1578968673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S ORANGE AVE",
            "address_2": "SUITE 300",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395804",
            "telephone_number": "973-763-9900",
            "fax_number": "973-488-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S ORANGE AVE",
            "address_2": "SUITE 300",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395804",
            "telephone_number": "973-763-9900",
            "fax_number": "973-488-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL PALSY OF NORTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "ICAN PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "973-763-9900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "40QA01001600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

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

Verify at the official NPI Registry.