Provider Type Icon

CEREBRAL PALSY OF NORTH JERSEY NPI 1346629904


NPI Information

NPI: 1346629904
Provider Name: CEREBRAL PALSY OF NORTH JERSEY
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1150 SPRINGFIELD AVE
IRVINGTON, NJ
ZIP 07111
Phone: (973) 416-4414
Get Directions

CEREBRAL PALSY OF NORTH JERSEY is a residential treatment facility, intellectual and/or developmental disabilities in Irvington, 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. CEREBRAL PALSY OF NORTH JERSEY NPI is 1346629904. The provider is registered as an organization entity type.

The provider's business location address is:

1150 SPRINGFIELD AVE
IRVINGTON, NJ
ZIP 07111-441
Phone: (973) 416-4414
Fax: (973) 416-4454

The provider's authorized official is Rick Bornstein .
The authorized official title is Cfo and has the following contact phone number (973) 821-8107.

The enumeration date for this NPI number is 5/28/2015 and was last updated on 8/29/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3343800000XSecured Medical Transport (VAN)No
4385H00000XRespite CareNo
5320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10438324MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.