NPIMap

Organization Active NPI

Iyaho Social Services of New Jersey, Inc

  • Voluntary or Charitable Agency
  • East Orange, NJ
National Provider Identifier
1962947531
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
0101035873 Issued in NJ
Legal business name
IYAHO SOCIAL SERVICES OF NEW JERSEY, INC
Practice address
137 Evergreen PL
East Orange, NJ 07018-2005
Phone
(917) 601-0669
Fax
(516) 280-5933
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Dr. Henry J Eromosele
Title
Executive Director
Phone
(917) 601-0669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 0101035873 NJ Primary

Addresses

Primary practice location

137 Evergreen PL
East Orange, NJ 07018-2005

Mailing address

137 Evergreen PL
East Orange, NJ 07018-2005
Phone (917) 601-0669

National Provider Directory

National Provider Directory
Tax ID family
Iyaho Social Services of New Jersey Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1962947531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 EVERGREEN PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182005",
            "telephone_number": "917-601-0669",
            "fax_number": "516-280-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 EVERGREEN PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182005",
            "telephone_number": "917-601-0669",
            "fax_number": "516-280-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYAHO SOCIAL SERVICES OF NEW JERSEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "EROMOSELE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "917-601-0669",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NJ",
            "license": "0101035873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.