Active NPI
Options Imagined a NJ Nonprofit Corporation
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Morris Plains, NJ
National Provider Identifier
1649889668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- OPTIONS IMAGINED A NJ NONPROFIT CORPORATION
- Practice address
- 2467 State Route 10 BLDG 18-1a
Morris Plains, NJ 07950-1318 - Phone
- (973) 583-7490
- NPI assigned
- Jul 27, 2020
- Organization subpart
- Yes
- Parent organization
- OPTIONS IMAGINED A NJ NONPROFIT CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Desimone
- Title
- President
- Phone
- (973) 583-7490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
2467 State Route 10 BLDG 18-1a
Morris Plains, NJ 07950-1318
Mailing address
677 US Highway 46 Ste B
Kenvil, NJ 07847-2699
Phone (973) 583-7490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0488267 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Options Imagined a NJ Nonprofit Corporation
- Part of
- Options Imagined a NJ Nonprofit Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Kenvil, NJ
- NPI 1528451879
Locations
677 US Highway 46
Ste B
Kenvil, NJ 07847
Phone (833) 867-8466
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Developmentally Disabled Services Day Training Agency
- Kenvil, NJ
- NPI 1528451879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595808000000",
"number": "1649889668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 US HIGHWAY 46 STE B",
"city": "KENVIL",
"state": "NJ",
"postal_code": "078472699",
"telephone_number": "973-583-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2467 STATE ROUTE 10 BLDG 18-1A",
"city": "MORRIS PLAINS",
"state": "NJ",
"postal_code": "079501318",
"telephone_number": "973-583-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIONS IMAGINED A NJ NONPROFIT CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OPTIONS IMAGINED A NJ NONPROFIT CORPORATION",
"enumeration_date": "2020-07-27",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A",
"authorized_official_last_name": "DESIMONE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-583-7490"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0488267",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morris Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.