Organization Active NPI

Community Access Unlimited

  • Community/Behavioral Health Agency
  • Garwood, NJ
National Provider Identifier
1871025643
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY ACCESS UNLIMITED
Practice address
657 Myrtle Ave
Garwood, NJ 07027-1217
Phone
(908) 354-3040
NPI assigned
Mar 31, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sidney Blanchard
Title
Ceo
Phone
(908) 354-3040

Corporate family (same tax ID) 22

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

National Provider Directory

National Provider Directory
Tax ID family
Community Access Unlimited (149 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

657 Myrtle Ave
Garwood, NJ 07027-1217

Mailing address

80 W Grand St
Elizabeth, NJ 07202-1471
Phone (908) 354-3040

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0374725MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2017.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1871025643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W GRAND ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021471",
            "telephone_number": "908-354-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 MYRTLE AVE",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "070271217",
            "telephone_number": "908-354-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACCESS UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-354-3040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0374725",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.