NPIMap

Organization Active NPI

The Arc of Burlington County, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lumberton, NJ
National Provider Identifier
1962016436
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
THE ARC OF BURLINGTON COUNTY, INC.
Practice address
25 Independence Dr
Lumberton, NJ 08048-2231
Phone
(609) 531-0211
Fax
(609) 386-2244
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Mrs. Joanna Nevadomski
Title
Executive Director
Phone
(609) 531-0211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

25 Independence Dr
Lumberton, NJ 08048-2231

Mailing address

115 E Broad St
Burlington, NJ 08016-1515
Phone (609) 531-0211

Other identifiers 1

IdentifierTypeStateIssuer
0469432MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Burlington County Inc34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1962016436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E BROAD ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161515",
            "telephone_number": "609-531-0211",
            "fax_number": "609-386-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 INDEPENDENCE DR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080482231",
            "telephone_number": "609-531-0211",
            "fax_number": "609-386-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF BURLINGTON COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "NEVADOMSKI",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-531-0211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469432",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.