NPIMap

Organization Active NPI

Cerebral Palsy of North Jersey

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Warren, NJ
National Provider Identifier
1639697493
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
CEREBRAL PALSY OF NORTH JERSEY
Practice address
115 Stirling Rd
Warren, NJ 07059-5721
Phone
(908) 647-8300
NPI assigned
Aug 31, 2017
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Rick Bornstein, CPA
Title
Chief Financial Officer
Phone
(973) 821-8107

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Secured Medical Transport (VAN) 343800000X NU
Respite Care 385H00000X NU

Addresses

Primary practice location

115 Stirling Rd
Warren, NJ 07059-5721

Mailing address

220 S Orange Ave Ste 300
Livingston, NJ 07039-5800
Phone (973) 763-9900

Other identifiers 1

IdentifierTypeStateIssuer
0479268MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy of North Jersey42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1639697493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S ORANGE AVE STE 300",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395800",
            "telephone_number": "973-763-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STIRLING RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595721",
            "telephone_number": "908-647-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL PALSY OF NORTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "973-821-8107",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0479268",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.