Organization Active NPI

Bonnie Brae

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Liberty Corner, NJ
National Provider Identifier
1831448414
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
BONNIE BRAE
Practice address
3415 Valley Road
Bonnie Brae
Liberty Corner, NJ 07938
Phone
(908) 542-2732
Fax
(908) 604-8869
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Mr. William Powers, MPH,MPA
Title
Ceo
Phone
(908) 542-2732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

3415 Valley Road
Bonnie Brae
Liberty Corner, NJ 07938

Mailing address

3415 Valley Road
Bonnie Brae
Liberty Corner, NJ 07938
Phone (908) 542-2732

National Provider Directory

National Provider Directory
Tax ID family
Bonnie Brae13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1831448414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 VALLEY ROAD",
            "address_2": "BONNIE BRAE",
            "city": "LIBERTY CORNER",
            "state": "NJ",
            "postal_code": "07938",
            "telephone_number": "908-542-2732",
            "fax_number": "908-604-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 VALLEY ROAD",
            "address_2": "BONNIE BRAE",
            "city": "LIBERTY CORNER",
            "state": "NJ",
            "postal_code": "07938",
            "telephone_number": "908-542-2732",
            "fax_number": "908-604-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE BRAE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-542-2732",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH,MPA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Corner, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.