Organization Active NPI

Cerebral Palsy of North Jesey

  • Developmentally Disabled Services Day Training Agency
  • Irvington, NJ
National Provider Identifier
1609258417
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CEREBRAL PALSY OF NORTH JESEY
Practice address
1150 Springfield Ave
Irvington, NJ 07111-2441
Phone
(973) 416-4414
Fax
(973) 416-4454
NPI assigned
Jun 29, 2015
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
Mr. Rick Bornstein
Title
Cfo
Phone
(973) 821-8107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

1150 Springfield Ave
Irvington, NJ 07111-2441

Mailing address

220 S Orange Ave
Suite 3000
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

Locations

220 S Orange Ave
Ste 3000
Livingston, NJ 07039

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1609258417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S ORANGE AVE",
            "address_2": "SUITE 3000",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395804",
            "telephone_number": "973-763-9900",
            "fax_number": "973-763-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SPRINGFIELD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112441",
            "telephone_number": "973-416-4414",
            "fax_number": "973-416-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL PALSY OF NORTH JESEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-821-8107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, 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.