NPIMap

Organization Active NPI

Damon House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Paterson, NJ
National Provider Identifier
1619969581
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
81260 Issued in NJ
Legal business name
DAMON HOUSE, INC.
Practice address
175 Market St.
Paterson, NJ 07505
Phone
(973) 279-5563
Fax
(973) 297-6108
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Ms. Ileen F. Bradley
Title
Executive Director
Phone
(732) 828-3988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 81260 NJ Primary

Addresses

Primary practice location

175 Market St.
Paterson, NJ 07505

Mailing address

P.O. Box 76
New Brunswick, NJ 08903
Phone (732) 828-3988

National Provider Directory

National Provider Directory
Tax ID family
Damon House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1619969581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 76",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08903",
            "telephone_number": "732-828-3988",
            "fax_number": "732-828-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARKET ST.",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07505",
            "telephone_number": "973-279-5563",
            "fax_number": "973-297-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ILEEN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-828-3988",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "81260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.