Township of Middletown

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TOWNSHIP OF MIDDLETOWN

Practice address

730 Newman Springs Road
Lincroft, NJ 07738

Phone

(732) 615-2277

Fax

(732) 758-0566

NPI assigned

Aug 11, 2016

Organization subpart

Yes

Parent organization

TOWNSHIP OF MIDDLETOWNAs reported in NPPES

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

Authorized official

Name

Ms. Heather Dawn Diblasi, MA CPS DRCC SAC

Title

Program Director

Phone

(732) 615-2277

Specialties & licenses 1

Addresses

Other names 1

• Township of Middletown- Health Department Other name

Part of

Township of Middletown

Locations

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1821542481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KINGS HIGHWAY",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "07748",
            "telephone_number": "732-615-2277",
            "fax_number": "732-758-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NEWMAN SPRINGS ROAD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "07738",
            "telephone_number": "732-615-2277",
            "fax_number": "732-758-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF MIDDLETOWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWNSHIP OF MIDDLETOWN",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "DIBLASI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "732-615-2277",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CPS DRCC SAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Township of Middletown- Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Lincroft, NJ
• Providers in Lincroft, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.