NPIMap

Organization Active NPI

Eden Autism Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hamilton, NJ
National Provider Identifier
1740648369
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
EDEN AUTISM SERVICES
Practice address
3 Blue Devil Lane
Hamilton, NJ 08619
Phone
(609) 987-0099
Fax
(609) 987-0243
NPI assigned
Feb 10, 2016
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Jamie K. Douglas
Title
Managing Director
Phone
(609) 987-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

3 Blue Devil Lane
Hamilton, NJ 08619

Mailing address

2 Merwick Rd
Princeton, NJ 08540-5730
Phone (609) 987-0099

National Provider Directory

National Provider Directory
Tax ID family
Eden Institute46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1740648369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERWICK RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405730",
            "telephone_number": "609-987-0099",
            "fax_number": "609-987-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BLUE DEVIL LANE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-987-0099",
            "fax_number": "609-987-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "609-987-0099"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.