NPIMap

Organization Active NPI

Eden Autism Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Plainsboro, NJ
National Provider Identifier
1629635867
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
EDEN AUTISM SERVICES
Practice address
13104 Rue Terrace
Plainsboro, NJ 08536
Phone
(609) 987-0099
Fax
(609) 987-0243
NPI assigned
May 23, 2019
Organization subpart
Yes
Parent organization
EDEN AUTISM SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Beth Lo
Title
Emr/Medicaid Manager
Phone
(609) 608-8531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

13104 Rue Terrace
Plainsboro, NJ 08536

Mailing address

2 Merwich Road
Princeton, NJ 08540-5730
Phone (609) 987-0099

National Provider Directory

National Provider Directory
Tax ID family
Eden Institute46 organizations share this tax ID, including this one
Part of
Eden Institute

Other organizations with this tax ID 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1629635867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERWICH ROAD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405730",
            "telephone_number": "609-987-0099",
            "fax_number": "609-987-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13104 RUE TERRACE",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "08536",
            "telephone_number": "609-987-0099",
            "fax_number": "609-987-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN AUTISM SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDEN AUTISM SERVICES",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "EMR/MEDICAID MANAGER",
        "authorized_official_telephone_number": "609-608-8531"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.