NPIMap

Organization Active NPI

The Arc, Warren County Chapter

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Columbia, NJ
National Provider Identifier
1891213690
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH1224 Issued in NJ
Legal business name
THE ARC, WARREN COUNTY CHAPTER
Practice address
46 Koeck Rd
Columbia, NJ 07832-2007
Phone
(908) 459-5080
Fax
(908) 459-5066
NPI assigned
Sep 1, 2017
Last updated
Sep 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Authorized official

Name
Mr. Robert Alexander Pruznick
Title
Ceo
Phone
(908) 689-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH1224 NJ Primary

Addresses

Primary practice location

46 Koeck Rd
Columbia, NJ 07832-2007

Mailing address

319 W Washington Ave
Washington, NJ 07882-2157
Phone (908) 689-7525

Other identifiers 1

IdentifierTypeStateIssuer
1710229778MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
The Arc Warren County Chapter35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

46 Koeck Rd
Columbia, NJ 07832
Phone (908) 459-5080

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1891213690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W WASHINGTON AVE",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822157",
            "telephone_number": "908-689-7525",
            "fax_number": "908-689-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 KOECK RD",
            "city": "COLUMBIA",
            "state": "NJ",
            "postal_code": "078322007",
            "telephone_number": "908-459-5080",
            "fax_number": "908-459-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC, WARREN COUNTY CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "PRUZNICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-689-7525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH1224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710229778",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.