Goodwill Industries of Greater Ny & Northern NJ, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GOODWILL INDUSTRIES OF GREATER NY & NORTHERN NJ, INC

Practice address

982 Broad St FL 2
Newark, NJ 07102-2503

Phone

(973) 481-2300

Fax

(973) 481-2781

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Beatriz Baldwin

Title

Senior Vice President of Missions

Phone

(646) 378-8267

Specialties & licenses 1

Addresses

Tax ID family

Goodwill Industries of Greater New York and Northern New Jersey Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Goodwill Industries of Greater New York and Northern New Jersey, Inc

  • Community/Behavioral Health Agency
  • Astoria, NY
  • NPI 1801080478
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carline Dalton, LMHC

  • Mental Health Counselor
  • Astoria, NY
  • NPI 1497034847
  NPD
• Joanna Grace Kibel, LCSW

  • Clinical Social Worker
  • Pleasantville, NY
  • NPI 1760079263
  NPD

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1700260122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 BROAD ST STE 200",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022503",
            "telephone_number": "973-481-3200",
            "fax_number": "973-481-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 BROAD ST FL 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022503",
            "telephone_number": "973-481-2300",
            "fax_number": "973-481-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF GREATER NY & NORTHERN NJ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF MISSIONS",
        "authorized_official_telephone_number": "646-378-8267"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Care Pediatrics, LLC
• Good Friends of Children With Childhood Developmental Disabilities
• Good Harvest Fraternal Group
• Chastity Gooden-Clyne
• Lashun Goodman
• Candace Gordon
• Emily Gordon, M.D.
• Amy Virginia Gore, M.D.
• Jacquelyn Gorobets
• Michael Gorynski, MD

• Developmentally Disabled Services Day Training Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.