STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL NPI 1255375929

NPI Information

NPI: 1255375929
Provider Name: STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

Other Name: NEW LISBON DEVELOPMENTAL CENTER

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 31D0653054

Address:
RTE 72 EAST
NEW LISBON, NJ
ZIP 08064
Phone: (609) 894-4001
Get Directions

STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL is a residential treatment facility, intellectual and/or developmental disabilities in New Lisbon, NJ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL NPI is 1255375929. The provider is registered as an organization entity type.
The provider Other Name Is New Lisbon Developmental Center.

The provider's business location address is:

RTE 72 EAST
NEW LISBON, NJ
ZIP 08064-130
Phone: (609) 894-4001
Fax: (609) 726-1293

The provider's authorized official is Janene M Hawk .
The authorized official title is Assistant Business Manager and has the following contact phone number (609) 894-4001.

The CLIA number assigned to this NPI record is 31D0653054 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 10/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		4467001	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	528585	OTHER	NEW JERSEY	MEDICARE BILLING GROUP
2	314092	MEDICARE OSCAR/CERTIFICATION	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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