NPIMap

Organization Active NPI

Comunidad Unida Para la Rehabilitacion de Adictos

  • Substance Abuse Rehabilitation Facility
  • Vineland, NJ
National Provider Identifier
1629425616
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
2000208 Issued in NJ
Legal business name
COMUNIDAD UNIDA PARA LA REHABILITACION DE ADICTOS
Practice address
729 E Landis Ave
Vineland, NJ 08360-8005
Phone
(856) 696-7335
Fax
(856) 696-7334
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Ms. Gloria E. Plaza
Title
President/Ceo
Phone
(973) 622-3570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 2000208 NJ Primary

Addresses

Primary practice location

729 E Landis Ave
Vineland, NJ 08360-8005

Mailing address

35 Lincoln Park
Newark, NJ 07102-2390
Phone (973) 622-3570

Other identifiers 2

IdentifierTypeStateIssuer
0507504MedicaidNJ
7605609MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Comunidad Unida Para10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

35 Lincoln Park
Newark, NJ 07102

729 E Landis Ave
Vineland, NJ 08360
Phone (856) 696-7335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1629425616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LINCOLN PARK",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022390",
            "telephone_number": "973-622-3570",
            "fax_number": "973-621-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 E LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608005",
            "telephone_number": "856-696-7335",
            "fax_number": "856-696-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMUNIDAD UNIDA PARA LA REHABILITACION DE ADICTOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "PLAZA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "973-622-3570",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "2000208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0507504",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7605609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.