Active NPI
Elwyn New Jersey
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Cherry Hill, NJ
National Provider Identifier
1770041790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ELWYN NEW JERSEY
- Practice address
- 1765 Country Club Dr
Cherry Hill, NJ 08003-3364 - Phone
- (856) 794-5300
- NPI assigned
- Mar 8, 2019
- Organization subpart
- Yes
- Parent organization
- ELWYN NEW JERSEY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Hartley
- Title
- Executive Director
- Phone
- (856) 794-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1765 Country Club Dr
Cherry Hill, NJ 08003-3364
Mailing address
228 W Landis Ave BLDG C
Vineland, NJ 08360-8138
Phone (856) 794-5300
National Provider Directory
National Provider Directory- Tax ID family
- Elwyn New Jersey
- Part of
- Elwyn New Jersey
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Millville, NJ
- NPI 1639693302
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Millville, NJ
- NPI 1649794314
-
- Developmentally Disabled Services Day Training Agency
- Vineland, NJ
- NPI 1669037636
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Williamstown, NJ
- NPI 1689236200
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Millville, NJ
- NPI 1700312949
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Franklinville, NJ
- NPI 1700375029
-
- Developmentally Disabled Services Day Training Agency
- Vineland, NJ
- NPI 1710369350
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Vineland, NJ
- NPI 1710413943
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Millville, NJ
- NPI 1720502495
-
- Developmentally Disabled Services Day Training Agency
- Vineland, NJ
- NPI 1730562471
-
- Community/Behavioral Health Agency
- Vineland, NJ
- NPI 1750033296
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bridgeton, NJ
- NPI 1750817094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660262400000",
"number": "1770041790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 W LANDIS AVE BLDG C",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083608138",
"telephone_number": "856-794-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 COUNTRY CLUB DR",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080033364",
"telephone_number": "856-794-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELWYN NEW JERSEY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELWYN NEW JERSEY",
"enumeration_date": "2019-03-08",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A",
"authorized_official_last_name": "HARTLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "856-794-5300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.