Active NPI
Nurtured NJ LLC
- Developmentally Disabled Services Day Training Agency
- Edison, NJ
National Provider Identifier
1629902358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- NURTURED NJ LLC
- Practice address
- 80 Jefferson Blvd
Edison, NJ 08817-3539 - Phone
- (732) 336-0338
- NPI assigned
- Jun 9, 2026
- Last updated
- Jun 9, 2026
- Organization subpart
- Yes
- Parent organization
- NURTURED NJ LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tamirah Goode
- Title
- Director of Operations
- Phone
- (732) 336-0338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
80 Jefferson Blvd
Edison, NJ 08817-3539
Mailing address
PO Box 8111
Piscataway, NJ 08855-8008
Phone (732) 336-1908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1220420 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Nurtured NJ LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmental Disabilities Clinic/Center
- East Brunswick, NJ
- NPI 1932099264
Locations
80 Jefferson Blvd
Edison, NJ 08817
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.
-
- Developmental Disabilities Clinic/Center
- East Brunswick, NJ
- NPI 1932099264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1629902358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8111",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088558008",
"telephone_number": "732-336-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 JEFFERSON BLVD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088173539",
"telephone_number": "732-336-0338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURTURED NJ LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NURTURED NJ LLC",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "GOODE",
"authorized_official_first_name": "TAMIRAH",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "732-336-0338",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1220420",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.