NPIMap

Organization Active NPI

Communtity Quest Cornell

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Somers Point, NJ
National Provider Identifier
1669852737
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COMMUNTITY QUEST CORNELL
Practice address
2 Cornell Rd
Somers Point, NJ 08244-1325
Phone
(609) 646-0388
Fax
(609) 646-5622
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Mr. Daniel Kelly
Title
Chief Executive Officer
Phone
(609) 646-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

2 Cornell Rd
Somers Point, NJ 08244-1325

Mailing address

6814 Tilton Rd
Egg Harbor Township, NJ 08234-4490
Phone (609) 646-0388

National Provider Directory

National Provider Directory
Tax ID family
Communtity Quest Cornell17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1669852737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 TILTON RD",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344490",
            "telephone_number": "609-646-0388",
            "fax_number": "609-646-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORNELL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441325",
            "telephone_number": "609-646-0388",
            "fax_number": "609-646-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNTITY QUEST CORNELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "609-646-0388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.