NPIMap

Organization Active NPI

Pride Day Program Eclc of NJ

  • Developmentally Disabled Services Day Training Agency
  • Chatham, NJ
National Provider Identifier
1629824917
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PRIDE DAY PROGRAM ECLC OF NJ
Practice address
94 Fairmount Ave
Chatham, NJ 07928-2338
Phone
(973) 601-5330
NPI assigned
Apr 26, 2024
Organization subpart
Yes
Parent organization
PRIDE DAY PROGRAM ECLC OF NJAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Mrs. Jami Schockling
Title
Compliance Coordinator
Phone
(973) 601-5323

Specialties & licenses 1

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

Addresses

Primary practice location

94 Fairmount Ave
Chatham, NJ 07928-2338

Mailing address

100 Passaic Ave Ste 1
Chatham, NJ 07928-2848
Phone (973) 601-5330

National Provider Directory

National Provider Directory
Tax ID family
Pride Day Program Eclc of NJ5 organizations share this tax ID, including this one
Part of
Pride Day Program Eclc of NJ

Other organizations with this tax ID 4

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

Locations

94 Fairmount Ave
Chatham, NJ 07928
Phone (973) 601-5330

100 Passaic Ave
Ste 1
Chatham, NJ 07928

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1629824917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASSAIC AVE STE 1",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282848",
            "telephone_number": "973-601-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 FAIRMOUNT AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282338",
            "telephone_number": "973-601-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE DAY PROGRAM ECLC OF NJ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIDE DAY PROGRAM ECLC OF NJ",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "SCHOCKLING",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "COMPLIANCE COORDINATOR",
        "authorized_official_telephone_number": "973-601-5323",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.