NPIMap

Organization Active NPI

Eden Autism

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lawrenceville, NJ
National Provider Identifier
1811449622
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
EDEN AUTISM
Practice address
4314 Town CT N
Lawrenceville, NJ 08648-4713
Phone
(609) 799-4878
NPI assigned
Oct 27, 2016
Last updated
Oct 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Beth Lo
Title
Ehr Trainer/Medicaid Specialist
Phone
(609) 987-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

4314 Town CT N
Lawrenceville, NJ 08648-4713

Mailing address

2 Merwick Rd
Princeton, NJ 08540-5730

National Provider Directory

National Provider Directory
Tax ID family
Eden Institute46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

2 Merwick Rd
Princeton, NJ 08540
Phone (609) 987-1243

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1811449622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERWICK RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 TOWN CT N",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484713",
            "telephone_number": "609-799-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "EHR TRAINER/MEDICAID SPECIALIST",
        "authorized_official_telephone_number": "609-987-0099"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.