Organization Active NPI

Wynwood Florham Park

  • Assisted Living Facility (Mental Illness)
  • Florham Park, NJ
National Provider Identifier
1972769289
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
60A000 Issued in NJ
Legal business name
WYNWOOD FLORHAM PARK
Practice address
8 James St
Florham Park, NJ 07932-1432
Phone
(973) 443-0444
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Loir Maloney, CALA
Title
Executive Director
Phone
(973) 443-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 60A000 NJ Primary

Addresses

Primary practice location

8 James St
Florham Park, NJ 07932-1432

Mailing address

8 James St
Florham Park, NJ 07932-1432

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Senior Living Communities Inc248 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1972769289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JAMES ST",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JAMES ST",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321432",
            "telephone_number": "973-443-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNWOOD FLORHAM PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "LOIR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-443-0444",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NJ",
            "license": "60A000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.