NPIMap

Organization Active NPI

Pride Day Program Eclc of NJ

  • Developmentally Disabled Services Day Training Agency
  • Paramus, NJ
National Provider Identifier
1811358666
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PRIDE DAY PROGRAM ECLC OF NJ
Practice address
403 Sette Dr
Paramus, NJ 07652-2912
Phone
(201) 265-1040
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Ms. Dorothea S. Libman
Title
Director
Phone
(973) 665-4558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

403 Sette Dr
Paramus, NJ 07652-2912

Mailing address

100 Passaic Ave
Chatham, NJ 07928

National Provider Directory

National Provider Directory
Tax ID family
Pride Day Program Eclc of NJ5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

403 Sette Dr
Paramus, NJ 07652
Phone (201) 265-1040

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1811358666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASSAIC AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "07928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SETTE DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522912",
            "telephone_number": "201-265-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE DAY PROGRAM ECLC OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "LIBMAN",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-665-4558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.