Spectrum for Living

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SPECTRUM FOR LIVING

Practice address

50 Blanch Ave
Closter, NJ 07624-1228

Phone

(201) 784-9400

Fax

(201) 784-8177

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Maryann Diomede

Title

Director of Finance

Phone

(201) 358-8083

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710192364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 RIVERVALE RD",
            "address_2": "SUITE 3",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756281",
            "telephone_number": "201-358-8083",
            "fax_number": "201-358-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BLANCH AVE",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241228",
            "telephone_number": "201-784-9400",
            "fax_number": "201-784-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM FOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIOMEDE",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "201-358-8083",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Deanna Sirgant, MSN, FNP-BC
• Kenneth B Sloane, DDS
• Susannah Smedresman, PSY.D.
• Shima Sokol, M.D.
• Brian Sokolov
• Spectrum for Living Development, Inc.
• Spectrum for Living Development, Inc.
• Spectrum for Living Development, Inc.
• Spectrum for Living Development, Inc.
• Spectrum for Living Development, Inc.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Closter, NJ
• Providers in Closter, NJ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.