Active NPI
Pennreach
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Old Bridge, NJ
National Provider Identifier
1801300371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- PENNREACH
- Practice address
- 1998 Route 18 Apt 103
Old Bridge, NJ 08857-3779 - Phone
- (732) 963-4523
- Fax
- (609) 259-4120
- NPI assigned
- Nov 20, 2017
- Last updated
- Nov 20, 2017
- 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
- Pauline Bailo
- Title
- Director
- Phone
- (215) 475-2401
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
1998 Route 18 Apt 103
Old Bridge, NJ 08857-3779
Mailing address
18 S Main St
Allentown, NJ 08501-1610
Phone (732) 963-4523
National Provider Directory
National Provider Directory- Tax ID family
- Pennreach
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
- Fort Lee, NJ
- NPI 1689229544
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1700431939
-
- Case Management Agency
- Allentown, NJ
- NPI 1710364385
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Aberdeen, NJ
- NPI 1720938129
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbridge, NJ
- NPI 1740834068
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Old Bridge, NJ
- NPI 1750895157
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbridge, NJ
- NPI 1750935102
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Oceanport, NJ
- NPI 1760960363
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Lee, NJ
- NPI 1770138638
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbridge, NJ
- NPI 1780238139
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Edison, NJ
- NPI 1790303675
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbridge, NJ
- NPI 1790338119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511136000000",
"number": "1801300371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 S MAIN ST",
"city": "ALLENTOWN",
"state": "NJ",
"postal_code": "085011610",
"telephone_number": "732-963-4523",
"fax_number": "609-259-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1998 ROUTE 18 APT 103",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573779",
"telephone_number": "732-963-4523",
"fax_number": "609-259-4120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNREACH",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A",
"authorized_official_last_name": "BAILO",
"authorized_official_first_name": "PAULINE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "215-475-2401"
},
"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 Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.