Active NPI
Spectrum for Living Development, Inc.
- Adult Day Care Clinic/Center
- Closter, NJ
National Provider Identifier
1639318306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 83011
- Legal business name
- SPECTRUM FOR LIVING DEVELOPMENT, INC.
- Practice address
- 50 Blanch Ave
Closter, NJ 07624-1228 - Phone
- (201) 784-9400
- NPI assigned
- Feb 19, 2009
- Last updated
- Feb 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carmine G Marchionda, LNHA, MBA, MPHA
- Title
- President/Ceo
- Phone
- (201) 358-8086
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 83011 | NJ | Primary |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 31G012 | NJ |
Addresses
Primary practice location
50 Blanch Ave
Closter, NJ 07624-1228
Mailing address
210 Rivervale Rd
Rivervale, NJ 07675-6281
Phone (201) 358-8000
Other names 1
- Spectrum for Living
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235001600000",
"number": "1639318306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 RIVERVALE RD",
"city": "RIVERVALE",
"state": "NJ",
"postal_code": "076756281",
"telephone_number": "201-358-8000",
"fax_number": "201-358-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BLANCH AVE",
"city": "CLOSTER",
"state": "NJ",
"postal_code": "076241228",
"telephone_number": "201-784-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM FOR LIVING DEVELOPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-19",
"last_updated": "2009-02-19",
"status": "A",
"authorized_official_last_name": "MARCHIONDA",
"authorized_official_first_name": "CARMINE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "201-358-8086",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LNHA, MBA, MPHA"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NJ",
"license": "83011",
"primary": true
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "NJ",
"license": "31G012",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spectrum for Living",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Closter, NJ
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spine and Health Center of Closter PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.