NPIMap

Organization Active NPI

Eastern Christian Children's Retreat

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wyckoff, NJ
National Provider Identifier
1992140743
Registry record updated May 7, 2013
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
EASTERN CHRISTIAN CHILDREN'S RETREAT
Practice address
700 Mountain Ave
Wyckoff, NJ 07481-1047
Phone
(201) 848-8005
Fax
(201) 847-9619
NPI assigned
May 7, 2013
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Jayne Press
Title
Executive Director
Phone
(201) 848-8005

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NJ
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NJ
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NJ Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NJ

Addresses

Primary practice location

700 Mountain Ave
Wyckoff, NJ 07481-1047

Mailing address

700 Mountain Ave
Wyckoff, NJ 07481-1047
Phone (201) 848-8005

National Provider Directory

National Provider Directory
Tax ID family
Eastern Christian Children's Retreat21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1992140743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNTAIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811047",
            "telephone_number": "201-848-8005",
            "fax_number": "201-847-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNTAIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811047",
            "telephone_number": "201-848-8005",
            "fax_number": "201-847-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CHRISTIAN CHILDREN'S RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "PRESS",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-848-8005"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.