Organization Active NPI

Department of Special Education of the Roman Catholic Diocese of Pater

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pompton Lakes, NJ
National Provider Identifier
1821478850
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH832 Issued in NJ
Legal business name
DEPARTMENT OF SPECIAL EDUCATION OF THE ROMAN CATHOLIC DIOCESE OF PATER
Practice address
215 Mountain Avenue
Pompton Lakes, NJ 07442
Phone
(973) 406-1100
Fax
(973) 697-9603
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Mr. Scott Patrick Milliken, MPA
Title
Executive Director
Phone
(973) 406-1106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH832 NJ Primary

Addresses

Primary practice location

215 Mountain Avenue
Pompton Lakes, NJ 07442

Mailing address

PO Box 2539
Oak Ridge, NJ 07438
Phone (973) 406-1100

Other names 1

  • Department for Persons with Disabilities, Diocese of Paterson Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Department for Persons With Disabilities Diocese of Paterson20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1821478850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2539",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "07438",
            "telephone_number": "973-406-1100",
            "fax_number": "973-697-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MOUNTAIN AVENUE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "07442",
            "telephone_number": "973-406-1100",
            "fax_number": "973-697-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF SPECIAL EDUCATION OF THE ROMAN CATHOLIC DIOCESE OF PATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "MILLIKEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-406-1106",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department for Persons with Disabilities, Diocese of Paterson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.