NPIMap

Organization Active NPI

Daytop Village of NJ, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mendham, NJ
National Provider Identifier
1588025811
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
AS0002 Issued in NJ
Legal business name
DAYTOP VILLAGE OF NJ, INC.
Practice address
80 W Main St
Mendham, NJ 07945-1257
Phone
(973) 543-5656
NPI assigned
Mar 15, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Stephen Scrape
Title
Director of Finance & Controller
Phone
(862) 261-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X AS0002 NJ Primary

Addresses

Primary practice location

80 W Main St
Mendham, NJ 07945-1257

Mailing address

PO Box 310
Mendham, NJ 07945-0310
Phone (862) 260-9640

Other practice location 1

399 N Main St
Manahawkin, NJ 08050-3069
Phone (732) 875-1090

Other identifiers 1

IdentifierTypeStateIssuer
0541036MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Daytop Village of New Jersey Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

80 W Main St
Mendham, NJ 07945
Phone (973) 543-5656

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1588025811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079450310",
            "telephone_number": "862-260-9640",
            "fax_number": "862-260-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451257",
            "telephone_number": "973-543-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 N Main St",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080503069",
            "country_code": "US",
            "telephone_number": "732-875-1090",
            "fax_number": "732-875-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAYTOP VILLAGE OF NJ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SCRAPE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & CONTROLLER",
        "authorized_official_telephone_number": "862-261-9460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "AS0002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0541036",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.