NPIMap

Organization Active NPI

Progressive Comprehensive Services LLC

  • Supports Brokerage Agency
  • Cedar Knolls, NJ
National Provider Identifier
1922346287
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
44SC00847800 Issued in NJ
Legal business name
PROGRESSIVE COMPREHENSIVE SERVICES LLC
Practice address
100 E Hanover Ave
Suite 103
Cedar Knolls, NJ 07927-2020
Phone
(973) 998-6242
Fax
(973) 998-6240
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Mrs. Neeta P Das, LCSW
Title
Director
Phone
(973) 998-6242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Supports Brokerage Agency 251X00000X 44SC00847800 NJ Primary

Addresses

Primary practice location

100 E Hanover Ave
Suite 103
Cedar Knolls, NJ 07927-2020

Mailing address

100 E Hanover Ave Ste 103
Cedar Knolls, NJ 07927-2047
Phone (973) 998-6242

Other identifiers 1

IdentifierTypeStateIssuer
1114266715MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Center for Enhancing Abilities5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

100 E Hanover Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 998-6242

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1922346287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HANOVER AVE STE 103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272047",
            "telephone_number": "973-998-6242",
            "fax_number": "973-998-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HANOVER AVE",
            "address_2": "SUITE 103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272020",
            "telephone_number": "973-998-6242",
            "fax_number": "973-998-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE COMPREHENSIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "NEETA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-998-6242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NJ",
            "license": "44SC00847800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114266715",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.