Organization Active NPI

Township of Lyndhurst/Parks Department

  • Developmentally Disabled Services Day Training Agency
  • Lyndhurst, NJ
National Provider Identifier
1639615511
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TOWNSHIP OF LYNDHURST/PARKS DEPARTMENT
Practice address
420 Fern Ave
1St Floor
Lyndhurst, NJ 07071-2252
Phone
(201) 372-1135
Fax
(201) 372-0225
NPI assigned
Jan 16, 2017
Organization subpart
Yes
Parent organization
TOWNSHIP OF LYNDHURST/PARKS DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Authorized official

Name
Miss Kelly Ann Keenan
Title
Workshop Director
Phone
(201) 372-1135

Specialties & licenses 1

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

Addresses

Primary practice location

420 Fern Ave
1St Floor
Lyndhurst, NJ 07071-2252

Mailing address

250 Cleveland Ave
Lyndhurst, NJ 07071-1902
Phone (201) 804-2482

Other names 1

  • Lyndhurst Adult Workshop Other name

National Provider Directory

National Provider Directory
Tax ID family
Township of Lyndhurst2 organizations share this tax ID, including this one
Part of
Township of Lyndhurst

Other organizations with this tax ID 1

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

Locations

250 Cleveland Ave
Lyndhurst, NJ 07071

420 Fern Ave
Fl 1
Lyndhurst, NJ 07071
Phone (201) 372-1135

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1639615511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CLEVELAND AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711902",
            "telephone_number": "201-804-2482",
            "fax_number": "201-939-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FERN AVE",
            "address_2": "1ST FLOOR",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712252",
            "telephone_number": "201-372-1135",
            "fax_number": "201-372-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF LYNDHURST/PARKS DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWNSHIP OF LYNDHURST/PARKS DEPARTMENT",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "WORKSHOP DIRECTOR",
        "authorized_official_telephone_number": "201-372-1135",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyndhurst Adult Workshop",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.