Individual provider Active NPI

Superior Jones-Swoope

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Willingboro, NJ
National Provider Identifier
1740682004
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
320900000X Issued in NJ
Practice address
14 Ruscombe CT
Willingboro, NJ 08046-4016
Phone
(609) 332-6431
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 320900000X NJ Primary

Addresses

Primary practice location

14 Ruscombe CT
Willingboro, NJ 08046-4016

Mailing address

14 Ruscombe CT
Willingboro, NJ 08046-4016
Phone (609) 332-6431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
320900000XNJMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1740682004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RUSCOMBE CT",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080464016",
            "telephone_number": "609-332-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RUSCOMBE CT",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080464016",
            "telephone_number": "609-332-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-SWOOPE",
        "first_name": "SUPERIOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "320900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.