Active NPI
Phasebdevelopment
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 239456258
- Legal business name
- PHASEBDEVELOPMENT
- Practice address
- 138 Central Ave
Jersey City, NJ 07306-2119 - Phone
- (646) 512-1620
- NPI assigned
- Nov 14, 2008
- Last updated
- Nov 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregg Allen Redmon, MA, MED
- Title
- Coo
- Phone
- (646) 512-1620
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 239456258 | NY | Primary |
Addresses
Primary practice location
138 Central Ave
Jersey City, NJ 07306-2119
Mailing address
138 Central Ave
Jersey City, NJ 07306-2119
Phone (646) 512-1620
National Provider Directory
National Provider Directory- Tax ID family
- Phasebdevelopment
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Statesville, NC
- NPI 1619122538
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Jersey City, NJ
- NPI 1295989358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226620800000",
"number": "1922252089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 CENTRAL AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062119",
"telephone_number": "646-512-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 CENTRAL AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062119",
"telephone_number": "646-512-1620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHASEBDEVELOPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-14",
"last_updated": "2008-11-14",
"status": "A",
"authorized_official_last_name": "REDMON",
"authorized_official_first_name": "GREGG",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "646-512-1620",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, MED"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": "239456258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.