NPIMap

Organization Active NPI

Jewish Service for the Developmentally Disabled of Metrowest, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Boonton, NJ
National Provider Identifier
1740795301
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED OF METROWEST, INC.
Practice address
5 Pleasant Ter
Boonton, NJ 07005-1036
Phone
(973) 272-7141
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Linda Rae Press
Title
Executive Director
Phone
(973) 272-7141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X GH1261 NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

5 Pleasant Ter
Boonton, NJ 07005-1036

Mailing address

310 Eisenhower Pkwy
Livingston, NJ 07039-1708
Phone (973) 272-7141

Other identifiers 1

IdentifierTypeStateIssuer
8862397MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Jewish Service for the Developmentally Disabled52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1740795301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391708",
            "telephone_number": "973-272-7141",
            "fax_number": "973-992-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLEASANT TER",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051036",
            "telephone_number": "973-272-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED OF METROWEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "PRESS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-272-7141"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "GH1261",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8862397",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.