NPIMap

Organization Active NPI

Cerebral Palsy of North Jersey, Inc.

  • In Home Supportive Care Agency
  • Livingston, NJ
National Provider Identifier
1912447657
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CEREBRAL PALSY OF NORTH JERSEY, INC.
Practice address
220 S Orange Ave
Suite 300
Livingston, NJ 07039-5804
Phone
(973) 821-8107
NPI assigned
Feb 28, 2017
Last updated
Sep 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Authorized official

Name
Rick Bornstein, CPA
Title
Chief Financial Officer
Phone
(973) 821-8107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

220 S Orange Ave
Suite 300
Livingston, NJ 07039-5804

Mailing address

220 S Orange Ave
Suite 300
Livingston, NJ 07039-5804
Phone (973) 821-8107

Other identifiers 1

IdentifierTypeStateIssuer
0438324MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy of North Jersey42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1912447657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S ORANGE AVE",
            "address_2": "SUITE 300",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395804",
            "telephone_number": "973-821-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S ORANGE AVE",
            "address_2": "SUITE 300",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395804",
            "telephone_number": "973-821-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL PALSY OF NORTH JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "973-821-8107",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438324",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.