Damon House Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DAMON HOUSE INC.

Practice address

105 Joyce Kilmer Ave
New Brunswick, NJ 08901

Phone

(732) 828-3988

Fax

(732) 828-2710

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Ileen F Bradley

Title

Executive Director

Phone

(732) 828-3988

Specialties & licenses 1

Addresses

Tax ID family

Damon House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Damon House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Paterson, NJ
  • NPI 1619969581
  NPD tax ID

Locations

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1851874291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08903",
            "telephone_number": "732-828-3988",
            "fax_number": "732-828-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JOYCE KILMER AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "732-828-3988",
            "fax_number": "732-828-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ILEEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-828-3988",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dacillo-Curso, NURSE PRACTITIONER
• Madeleine Olivia Dahl, MD
• Ishita Dalal, M.D.
• Karen Therese Dalonzo, PH D,RN ,APNC
• Gail P Daly, NURSE PRACTITIONER
• Ralph Daniel, MD
• Michael Danilov, PHARMD
• Tracey Ann Dantone, LSW
• Kiron Das
• Bahar Dasgeb, MD

• Substance Abuse Rehabilitation Facility in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.