Organization Active NPI

Spectrum for Living Development, Inc.

  • Adult Day Care Clinic/Center
  • Closter, NJ
National Provider Identifier
1639318306
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
83011 Issued in NJ
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.