Collingswood Cerebral Palsy Adult Activity Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COLLINGSWOOD CEREBRAL PALSY ADULT ACTIVITY CENTER

Practice address

431 S Park Dr
Collingswood, NJ 08108-1407

Phone

(856) 858-4984

Fax

(856) 858-5225

NPI assigned

Apr 22, 2015

Last updated

Apr 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stuart Slattery

Title

Supervisor

Phone

(856) 858-4984

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1851788426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S PARK DR",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081407",
            "telephone_number": "856-858-4984",
            "fax_number": "856-858-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S PARK DR",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081407",
            "telephone_number": "856-858-4984",
            "fax_number": "856-858-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINGSWOOD CEREBRAL PALSY ADULT ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "SLATTERY",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "856-858-4984",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Elizabeth Clark
• Joseph Samuel Cohen
• Alex A. Colalillo Jr., D.D.S.
• Karen Cole
• Monica Collazo
• Collingswood Dental Partners, LLC
• Collingswood Family Medical Practice
• Collingswood Family Medicine, P.a. (Jason N. Moraleda, M.D.)
• Collingswood Family Smiles
• Collingswood Public Schools

• Developmentally Disabled Services Day Training Agency in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.