Active NPI
TWSP of Hanover
- Public Health or Welfare Agency
- Whippany, NJ
National Provider Identifier
1710169206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- A490
- Legal business name
- TWSP OF HANOVER
- Practice address
- 1000 Route 10
Whippany, NJ 07981-1005 - Phone
- (973) 428-2485
- NPI assigned
- Nov 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Nelson Van Orden, PH.D.
- Title
- Health Officer
- Phone
- (973) 428-2485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | A490 | NJ | Primary |
Addresses
Primary practice location
1000 Route 10
Whippany, NJ 07981-1005
Mailing address
1000 Route 10
PO Box 250
Whippany, NJ 07981-1005
Phone (973) 428-2485
Other names 1
- Hanover Township
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120820000027 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 6305002262 | Practice locations: Whippany, NJ |
National Provider Directory
National Provider DirectoryLocations
1000 State Route 10
Whippany, NJ 07981
Phone (973) 428-2484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318809600000",
"number": "1710169206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ROUTE 10",
"address_2": "PO BOX 250",
"city": "WHIPPANY",
"state": "NJ",
"postal_code": "079811005",
"telephone_number": "973-428-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ROUTE 10",
"city": "WHIPPANY",
"state": "NJ",
"postal_code": "079811005",
"telephone_number": "973-428-2485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWSP OF HANOVER",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2011-10-17",
"status": "A",
"authorized_official_last_name": "VAN ORDEN",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "NELSON",
"authorized_official_title_or_position": "HEALTH OFFICER",
"authorized_official_telephone_number": "973-428-2485",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NJ",
"license": "A490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hanover Township",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Whippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.