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Cerebral Palsy of North Jersey

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · West Orange, NJ

NPI 1801314513 · NPPES record last updated Feb 28, 2023

Key facts

NPI
1801314513
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
CEREBRAL PALSY OF NORTH JERSEY
Practice address
23 Oak Ave
West Orange, NJ 07052-2409
Phone
(973) 731-1700
NPI assigned
Sep 1, 2017
Organization subpart
No

Authorized official

Name
Rick Bornstein, CPA
Title
Chief Financial Officer
Phone
(973) 821-8107

Corporate family (same tax ID) 41

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

View all 41

National Provider Directory

Tax ID family
Cerebral Palsy of North Jersey (42 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Secured Medical Transport (VAN) 343800000X
Respite Care 385H00000X

Addresses

Primary practice location

23 Oak Ave
West Orange, NJ 07052-2409

Mailing address

220 S Orange Ave Ste 300
Livingston, NJ 07039-5800
Phone (973) 763-9900

Other identifiers

IdentifierTypeStateIssuer
0479268MedicaidNJ

Other providers in West Orange, NJ

All providers in West Orange, NJ · Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.