Organization Active NPI

Unity Place Das Program

  • Community/Behavioral Health Agency
  • Cherry Hill, NJ
National Provider Identifier
1720314024
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10053-01-05 Issued in NJ
Legal business name
UNITY PLACE DAS PROGRAM
Practice address
1 Keystone Ave
Suite 100
Cherry Hill, NJ 08003-1600
Phone
(856) 424-4142
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Jerry Tischler
Title
Chief Financial Officer - Owner
Phone
(732) 364-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10053-01-05 NJ Primary

Addresses

Primary practice location

1 Keystone Ave
Suite 100
Cherry Hill, NJ 08003-1600

Mailing address

1075 Stephenson Ave Unit C
Oceanport, NJ 07757-1242
Phone (848) 208-2636

Other identifiers 1

IdentifierTypeStateIssuer
251S00000XMedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Unity Place Das Program2 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.

Locations

1075 Stephenson Ave
Unit C
Oceanport, NJ 07757
Phone (848) 208-2636

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1720314024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 STEPHENSON AVE UNIT C",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571242",
            "telephone_number": "848-208-2636",
            "fax_number": "848-208-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KEYSTONE AVE",
            "address_2": "SUITE 100",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031600",
            "telephone_number": "856-424-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY PLACE DAS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "TISCHLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER - OWNER",
        "authorized_official_telephone_number": "732-364-4466"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "10053-01-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251S00000X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.