NPIMap

Organization Active NPI

NJ Ecc

  • Developmental Disabilities Clinic/Center
  • Little Ferry, NJ
National Provider Identifier
1659874675
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
NJ ECC
Practice address
31 Chamberlain Ave
Little Ferry, NJ 07643-1851
Phone
(551) 217-2828
NPI assigned
Mar 15, 2018
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Dawn L Willis, MSW, LSWNPI 1649643529
Title
Ceo
Phone
(201) 819-9061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

31 Chamberlain Ave
Little Ferry, NJ 07643-1851

Mailing address

31 Chamberlain Ave
Little Ferry, NJ 07643-1851
Phone (201) 819-9061

National Provider Directory

National Provider Directory
Tax ID family
NJ Ecc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1659874675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CHAMBERLAIN AVE",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431851",
            "telephone_number": "201-819-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CHAMBERLAIN AVE",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431851",
            "telephone_number": "551-217-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ ECC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2023-05-15",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-819-9061",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Ferry, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.