Active NPI
Unity Place II
- Community/Behavioral Health Agency
- Hammonton, NJ
National Provider Identifier
1942359682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 72701-01-05
- Legal business name
- UNITY PLACE II
- Practice address
- 121 S White Horse Pike
Hammonton, NJ 08037-1871 - Phone
- (609) 704-1313
- NPI assigned
- Jan 10, 2007
- 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. Michael Fish
- Title
- Owner
- Phone
- (732) 814-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 72701-01-05 | NJ | Primary |
Addresses
Primary practice location
121 S White Horse Pike
Hammonton, NJ 08037-1871
Mailing address
1500 Pine Park Ave
Lakewood, NJ 08701-1570
Phone (609) 704-1313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7195508 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Unity Place I
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Cherry Hill, NJ
- NPI 1902955644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942359682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 PINE PARK AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011570",
"telephone_number": "609-704-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S WHITE HORSE PIKE",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080371871",
"telephone_number": "609-704-1313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY PLACE II",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FISH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-814-6900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "72701-01-05",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7195508",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.