Active NPI
NJ DHS Division of Aging Services
- In Home Supportive Care Agency
- Mercerville, NJ
National Provider Identifier
1619418951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- NJ DHS DIVISION OF AGING SERVICES
- Practice address
- 12D Quakerbridge PLZ
Room D06
Mercerville, NJ 08619-1241 - Phone
- (609) 588-6537
- NPI assigned
- Mar 20, 2017
- Organization subpart
- Yes
- Parent organization
- STATE OF NEW JERSEY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Walter Valora
- Title
- Chief Financial Officer
- Phone
- (609) 588-2841
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
12D Quakerbridge PLZ
Room D06
Mercerville, NJ 08619-1241
Mailing address
12D Quakerbridge PLZ
Mercerville, NJ 08619-1241
Phone (609) 588-6537
National Provider Directory
National Provider Directory- Tax ID family
- Hunterdon Developmental
- Part of
- Hunterdon Developmental
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Organizations that report the same tax identification number in the National Provider Directory.
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-
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Locations
12D Quakerbridge Plz
Rm D6
Mercerville, NJ 08619
Phone (609) 588-6537
12D Quakerbridge Plz
Mercerville, NJ 08619
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Geriatric Medicine (Internal Medicine) Physician
- Paramus, NJ
- NPI 1104005057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489968000000",
"number": "1619418951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12D QUAKERBRIDGE PLZ",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086191241",
"telephone_number": "609-588-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12D QUAKERBRIDGE PLZ",
"address_2": "ROOM D06",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086191241",
"telephone_number": "609-588-6537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NJ DHS DIVISION OF AGING SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STATE OF NEW JERSEY",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A",
"authorized_official_last_name": "VALORA",
"authorized_official_first_name": "WALTER",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "609-588-2841",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mercerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.