Organization Active NPI

TWSP of Hanover

  • Public Health or Welfare Agency
  • Whippany, NJ
National Provider Identifier
1710169206
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
A490 Issued in NJ
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

Updated by the provider on Oct 17, 2011

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120820000027 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 6305002262 Practice locations: Whippany, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.