NPIMap

Organization Active NPI

Unity Place of Atlantic County, LLC

  • Clinic/Center
  • Hammonton, NJ
National Provider Identifier
1649640889
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
897520105 Issued in NJ
Legal business name
UNITY PLACE OF ATLANTIC COUNTY, LLC
Practice address
121 S White Horse Pike
Hammonton, NJ 08037-1871
Phone
(609) 704-1313
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Mr. Jerry Tischler
Title
Executive Director
Phone
(609) 704-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 897520105 NJ Primary

Addresses

Primary practice location

121 S White Horse Pike
Hammonton, NJ 08037-1871

Mailing address

821 Woodland Dr
Lakewood, NJ 08701-3038
Phone (609) 704-1313

Other identifiers 1

IdentifierTypeStateIssuer
0461938MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Unity Place of Atlantic County LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

121 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 704-1313

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1649640889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 WOODLAND DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013038",
            "telephone_number": "609-704-1313",
            "fax_number": "732-364-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371871",
            "telephone_number": "609-704-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY PLACE OF ATLANTIC COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "TISCHLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-704-1313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "897520105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461938",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.