| NPI |
1184150310 |
The name of the organization provider. If the provider is an organization, this is the legal business name. |
| Entity Type Code |
2 |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
| Employer Identification Number EIN |
|
The city name in the location address of the provider being identified. |
| Provider Organization Name Legal Business Name |
THE ARC OF HUNTERDON COUNTY |
The State code in the location of the provider
being identified. |
| Provider First Line Business Practice Location Address |
215 ROUTE 12 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
| Provider Second Line Business Practice Location Address |
APT 2 |
The country code in the location address of the provider being identified. |
| Provider Business Practice Location Address City Name |
FLEMINGTON |
The city name in the location address of the provider being identified. |
| Provider Business Practice Location Address State Name |
NJ |
The State code in the location of the provider
being identified. |
| Provider Business Practice Location Address Postal Code |
088224045 |
The date the provider was assigned a unique identifier (assigned an NPI). |
| Provider Business Practice Location Address Country Code If outside U S |
US |
The date that a record was last updated or changed. |
| Provider Business Practice Location Address Telephone Number |
9087307827 |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
| Provider Enumeration Date |
5/9/2017 |
The first name of the authorized official. |
| Last Update Date |
5/9/2017 |
The date that a record was last updated or changed. |
| Authorized Official Last Name |
LONG |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
| Authorized Official First Name |
JENNIFER |
The first name of the authorized official. |
| Authorized Official Title or Position |
DIRECTOR OF MEDICAID SERVICES |
|
| Authorized Official Telephone Number |
9087307827 |
|
| Healthcare Provider Taxonomy Code 1 |
320900000X |
|
| Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
| Is Organization Subpart |
N |
|