Organization Active NPI

Disabled, Information, Awareness & Living, Inc.

  • Case Management Agency
  • Clifton, NJ
National Provider Identifier
1841682986
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Feb 26, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.