STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL NPI 1356734271

NPI Information

  • NPI: 1356734271
  • Provider Name: STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Other Name: GREEN BROOK DEVELOPMENTAL CENTER
  • CLIA Number: 31D2195173
  • Address: 275 GREENBROOK RD
    GREEN BROOK, NJ
    ZIP 08812
  • Phone: (732) 968-6000

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NPI Details

STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL is a residential treatment facility, intellectual and/or developmental disabilities in Green Brook, 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 1356734271. The provider is registered as an organization entity type.
The provider Other Name Is Green Brook Developmental Center.

The provider's business location address is:

275 GREENBROOK RD
GREEN BROOK, NJ
ZIP 08812-223
Phone: (732) 968-6000
Fax: (732) 968-0373

The provider's authorized official is Antonio Brindisi .
The authorized official title is Cheif Executive Office and has the following contact phone number (732) 968-2004.

The CLIA number assigned to this NPI record is 31D2195173 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2015 and was last updated on 5/23/2016.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities31-G009NEW JERSEYYes

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
1528587MEDICARE PINNEW 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: 3/30/2025

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