EASTER SEALS NEW JERSEY NPI 1689797839

NPI Information

NPI: 1689797839
Provider Name: EASTER SEALS NEW JERSEY
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
241 FORSGATE DRIVE
JAMESBURG, NJ
ZIP 08831
Phone: (732) 257-6662
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EASTER SEALS NEW JERSEY is a community based residential treatment facility mental illness in Jamesburg, NJ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EASTER SEALS NEW JERSEY NPI is 1689797839. The provider is registered as an organization entity type.

The provider's business location address is:

241 FORSGATE DRIVE
JAMESBURG, NJ
ZIP 08831
Phone: (732) 257-6662
Fax: (732) 257-7373

The provider's authorized official is Brian Fitzgerald .
The authorized official title is C.e.o and has the following contact phone number (732) 257-6662.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 10/23/2023.

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	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness	40003-T40-02-40	NEW JERSEY	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness	40003-T40-03-40	NEW JERSEY	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness	40003-T40-00-41	NEW JERSEY	Yes

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: 5/5/2024

NPI Synchronization or Removal

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