1518321215 NPI number — THE VILLA AT FLORHAM PARK INC. AL

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 1518321215 NPI number — THE VILLA AT FLORHAM PARK INC. AL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE VILLA AT FLORHAM PARK INC. AL
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:
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:
1518321215
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 MANHATTAN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURLINGTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08016-4119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-386-7171
Provider Business Mailing Address Fax Number:
609-386-7191

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
190 PARK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLORHAM PARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07932-1049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-867-1514
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CRIPPS
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
609-699-4131

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com