NPIMap

Organization Active NPI

Eden Autism Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Robbinsville, NJ
National Provider Identifier
1649778622
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
EDEN AUTISM SERVICES
Practice address
12 Schenk PL
Robbinsville, NJ 08691-1146
Phone
(609) 987-0099
NPI assigned
Jan 25, 2018
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
EDEN AUTISMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Beth Lo
Title
Ehr/Medicaid Manager
Phone
(609) 608-8531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

12 Schenk PL
Robbinsville, NJ 08691-1146

Mailing address

2 Merwick Rd
Princeton, NJ 08540-5730
Phone (609) 987-0099

National Provider Directory

National Provider Directory
Tax ID family
Eden Institute46 organizations share this tax ID, including this one
Part of
Eden Institute

Other organizations with this tax ID 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1649778622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERWICK RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405730",
            "telephone_number": "609-987-0099",
            "fax_number": "609-987-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SCHENK PL",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911146",
            "telephone_number": "609-987-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN AUTISM SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDEN AUTISM",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "EHR/MEDICAID MANAGER",
        "authorized_official_telephone_number": "609-608-8531"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.