1780066548 NPI number — NATIONAL INSTITUTE FOR PEOPLE WITH DISABILITIES OF NEW JERSEY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780066548 NPI number — NATIONAL INSTITUTE FOR PEOPLE WITH DISABILITIES OF NEW JERSEY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATIONAL INSTITUTE FOR PEOPLE WITH DISABILITIES OF NEW JERSEY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780066548
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 301
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORADELL
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07649-0301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-750-0509
Provider Business Mailing Address Fax Number:
845-358-6119

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
131 GRAND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW MILFORD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07646-2625
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-750-0509
Provider Business Practice Location Address Fax Number:
845-358-6119
Provider Enumeration Date:
06/29/2015

Additional Information

Authorized Official

Authorized Official Last Name:
COLOMA
Authorized Official First Name:
RALPH
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
201-750-0509

Provider Taxonomy Codes

  • Taxonomy code: 320900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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