Organization Active NPI

Qmanj, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Voorhees, NJ
National Provider Identifier
1790210342
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH1355 Issued in NJ
Legal business name
QMANJ, INC.
Practice address
213 Bergen Ave
Voorhees, NJ 08043-1803
Phone
(856) 354-5141
NPI assigned
Apr 20, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Sean Thomas Conley, J.D.
Title
Director of Finance and Information
Phone
(856) 735-1041

National Provider Directory

National Provider Directory
Tax ID family
Qmanj Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH1355 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

213 Bergen Ave
Voorhees, NJ 08043-1803

Mailing address

700 Cinnaminson Ave
BLDG B
Palmyra, NJ 08065-2500
Phone (856) 735-1034

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1578908943MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2021.

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1790210342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CINNAMINSON AVE",
            "address_2": "BLDG B",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080652500",
            "telephone_number": "856-735-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 BERGEN AVE",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431803",
            "telephone_number": "856-354-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QMANJ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND INFORMATION",
        "authorized_official_telephone_number": "856-735-1041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH1355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578908943",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.