NPIMap

Organization Active NPI

Middlesex County

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • North Brunswick, NJ
National Provider Identifier
1770639700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
2360 Issued in NJ
Legal business name
MIDDLESEX COUNTY
Practice address
99 Apple Orchard Rd
North Brunswick, NJ 08902-7164
Phone
(732) 297-8991
Fax
(732) 297-9462
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Crabiel
Title
Freeholder Director
Phone
(732) 297-8991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 2360 NJ Primary

Addresses

Primary practice location

99 Apple Orchard Rd
North Brunswick, NJ 08902-7164

Mailing address

PO Box 7164
99 Apple Orchard Rd
North Brunswick, NJ 08902-7164
Phone (732) 297-8991

Other identifiers 1

IdentifierTypeStateIssuer
8372004MedicaidNJ

Other names 1

  • Dept of Youth Services Middlefields Other name

National Provider Directory

National Provider Directory
Tax ID family
County of Middlesex HLT5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770639700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7164",
            "address_2": "99 APPLE ORCHARD RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089027164",
            "telephone_number": "732-297-8991",
            "fax_number": "732-297-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 APPLE ORCHARD RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089027164",
            "telephone_number": "732-297-8991",
            "fax_number": "732-297-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRABIEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FREEHOLDER DIRECTOR",
        "authorized_official_telephone_number": "732-297-8991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NJ",
            "license": "2360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8372004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept of Youth Services Middlefields",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.