Pennreach

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PENNREACH

Practice address

69 Main St Apt 607
Fort Lee, NJ 07024-6909

Phone

(215) 409-5519

NPI assigned

Jul 24, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krystal Odell

Title

Ceo

Phone

(215) 409-5519

Specialties & licenses 1

Addresses

Tax ID family

Pennreach87 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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

• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Allentown, NJ
  • NPI 1801514070
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Allentown, NJ
  • NPI 1841845690
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Metuchen, NJ
  • NPI 1861957755
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clementon, NJ
  • NPI 1871007286
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Old Bridge, NJ
  • NPI 1881173599
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Edison, NJ
  • NPI 1881212769
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Aberdeen, NJ
  • NPI 1902757636
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Edison, NJ
  • NPI 1912525825
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jersey City, NJ
  • NPI 1932613338
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbridge, NJ
  • NPI 1932753373
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Edison, NJ
  • NPI 1952929838
  NPD tax ID
• Pennreach

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbridge, NJ
  • NPI 1962056317
  NPD tax ID

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1992359343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011610",
            "telephone_number": "215-409-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MAIN ST APT 607",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246909",
            "telephone_number": "215-409-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-409-5519"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennreach
• Pennreach
• Pennreach
• Pennreach
• Pennreach
• Pennrech
• Timur Petrishin, PC
• Isabel Sara Pfeiffer, LMSW
• Pharmacy Junction Corp (Junction Drugs)
• Pharmacy Nearme, LLC.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.