NPIMap

Organization Active NPI

Willowglen Academy-New Jersey, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sparta, NJ
National Provider Identifier
1679928139
Registry record updated May 3, 2016
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
WILLOWGLEN ACADEMY-NEW JERSEY, INC.
Practice address
8 Wilson Drive
Sparta, NJ 07871-3491
Phone
(973) 579-3700
Fax
(973) 579-1786
NPI assigned
May 3, 2016
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLOWGLEN ACADEMY-NEW JERSEY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Mr. Richard Kochman
Title
Associate Director of Fiscal Activi
Phone
(973) 579-3700

Specialties & licenses 1

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

Addresses

Primary practice location

8 Wilson Drive
Sparta, NJ 07871-3491

Mailing address

8 Wilson Drive
Sparta, NJ 07871-3491
Phone (973) 579-3700

Other names 1

  • Willowglen LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Willowglen Academy - New Jersey Inc60 organizations share this tax ID, including this one
Part of
Willowglen Academy - New Jersey Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1679928139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILSON DRIVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713491",
            "telephone_number": "973-579-3700",
            "fax_number": "973-579-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILSON DRIVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713491",
            "telephone_number": "973-579-3700",
            "fax_number": "973-579-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWGLEN ACADEMY-NEW JERSEY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOWGLEN ACADEMY-NEW JERSEY, INC.",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "KOCHMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF FISCAL ACTIVI",
        "authorized_official_telephone_number": "973-579-3700",
        "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": [
        {
            "organization_name": "Willowglen LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.