NPIMap

Organization Active NPI

Easter Seals New Jersey - Camp Merry Heart

  • Community/Behavioral Health Agency
  • Hackettstown, NJ
National Provider Identifier
1770989865
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTER SEALS NEW JERSEY - CAMP MERRY HEART
Practice address
21 O'Brien Road
Hackettstown, NJ 07840
Phone
(908) 852-3896
Fax
(908) 852-9263
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Mr. Brian J Fitzgerald
Title
President
Phone
(732) 257-6662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

21 O'Brien Road
Hackettstown, NJ 07840

Mailing address

25 Kennedy Blvd
Suite 600
East Brunswick, NJ 08816-1259
Phone (732) 257-6662

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals of New Jersey Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1770989865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KENNEDY BLVD",
            "address_2": "SUITE 600",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161259",
            "telephone_number": "732-257-6662",
            "fax_number": "732-257-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 O'BRIEN ROAD",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-852-3896",
            "fax_number": "908-852-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS NEW JERSEY - CAMP MERRY HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-257-6662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.