Organization Active NPI

Daytop Village of New Jersey, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pittsgrove, NJ
National Provider Identifier
1962901116
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
20000641 Issued in NJ
Legal business name
DAYTOP VILLAGE OF NEW JERSEY, INC.
Practice address
9 Harding Hwy
Pittsgrove, NJ 08318-4401
Phone
(856) 358-4111
Fax
(856) 358-4120
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Janet Marie Sosely
Title
Ar Manager
Phone
(862) 260-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 20000641 NJ Primary

Addresses

Primary practice location

9 Harding Hwy
Pittsgrove, NJ 08318-4401

Mailing address

PO Box 310
Mendham, NJ 07945-0310
Phone (862) 260-9460

Other identifiers 1

IdentifierTypeStateIssuer
0554260MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Daytop Village of New Jersey Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1962901116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079450310",
            "telephone_number": "862-260-9460",
            "fax_number": "862-260-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HARDING HWY",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083184401",
            "telephone_number": "856-358-4111",
            "fax_number": "856-358-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTOP VILLAGE OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "SOSELY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "862-260-9460"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "20000641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0554260",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsgrove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.