Active NPI
Lee'S Developmental Services
- Early Intervention Provider Agency
- Maplewood, NJ
National Provider Identifier
1801229703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 26NO09927900
- Legal business name
- LEE'S DEVELOPMENTAL SERVICES
- Practice address
- 6 Maplewood Ave
Maplewood, NJ 07040-1220 - Phone
- (973) 761-5306
- Fax
- (973) 378-9525
- NPI assigned
- Aug 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Edna Yolanda Lee, RN MSN
- Title
- Owner
- Phone
- (973) 761-0230
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 26NO09927900 | NJ | |
| Early Intervention Provider Agency | 252Y00000X | 26NO09927900 | NJ | Primary |
| Health Maintenance Organization | 302R00000X | 26NO09927900 | NJ | |
| Assisted Living Facility | 310400000X | 26NO09927900 | NJ | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 26NO09927900 | NJ |
Addresses
Primary practice location
6 Maplewood Ave
Maplewood, NJ 07040-1220
Mailing address
50 W South Orange Ave
South Orange, NJ 07079-1730
Phone (973) 761-5306
National Provider Directory
National Provider DirectoryLocations
50 W South Orange Ave
Fl 2
South Orange, NJ 07079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427155200000",
"number": "1801229703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W SOUTH ORANGE AVE",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791730",
"telephone_number": "973-761-5306",
"fax_number": "973-378-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MAPLEWOOD AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401220",
"telephone_number": "973-761-5306",
"fax_number": "973-378-9525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE'S DEVELOPMENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-14",
"last_updated": "2015-03-24",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "EDNA",
"authorized_official_middle_name": "YOLANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-761-0230",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN MSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "26NO09927900",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NJ",
"license": "26NO09927900",
"primary": true
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NJ",
"license": "26NO09927900",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NJ",
"license": "26NO09927900",
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NJ",
"license": "26NO09927900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.