Active NPI
Disabled, Information, Awareness & Living, Inc.
- Case Management Agency
- Clifton, NJ
National Provider Identifier
1841682986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- DISABLED, INFORMATION, AWARENESS & LIVING, INC.
- Practice address
- 2 Prospect Village PLZ
Floor 1
Clifton, NJ 07013-1952 - Phone
- (973) 470-8090
- Fax
- (973) 470-8171
- NPI assigned
- Feb 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Petix Jr., M.ED.
- Title
- Executive Director
- Phone
- (973) 470-8090
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NJ | Primary | |
| Supports Brokerage Agency | 251X00000X | NJ |
Addresses
Primary practice location
2 Prospect Village PLZ
Floor 1
Clifton, NJ 07013-1952
Mailing address
2 Prospect Village PLZ
Floor 1
Clifton, NJ 07013-1952
Phone (973) 470-8090
Other names 1
- DIAL- Center for Independent Living
National Provider Directory
National Provider DirectoryLocations
2 Prospect Village Plz
#1
Clifton, NJ 07013
Phone (973) 470-8090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424908800000",
"number": "1841682986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PROSPECT VILLAGE PLZ",
"address_2": "FLOOR 1",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131952",
"telephone_number": "973-470-8090",
"fax_number": "973-470-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PROSPECT VILLAGE PLZ",
"address_2": "FLOOR 1",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131952",
"telephone_number": "973-470-8090",
"fax_number": "973-470-8171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISABLED, INFORMATION, AWARENESS & LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-26",
"last_updated": "2015-02-26",
"status": "A",
"authorized_official_last_name": "PETIX",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "973-470-8090",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.ED."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DIAL- Center for Independent Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.