DEVELOPMENTAL DISABILITIES ASSOCIATION OF NJ INC NPI 1699155861

NPI Information

  • NPI: 1699155861
  • Provider Name: DEVELOPMENTAL DISABILITIES ASSOCIATION OF NJ INC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Other Name: OLD BRDGE GH
  • Address: 30 ROANOKE RD
    MATAWAN, NJ
    ZIP 07747
  • Phone: (732) 636-6710

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NPI Details

DEVELOPMENTAL DISABILITIES ASSOCIATION OF NJ INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Matawan, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DEVELOPMENTAL DISABILITIES ASSOCIATION OF NJ INC NPI is 1699155861. The provider is registered as an organization entity type.
The provider Other Name Is Old Brdge Gh.

The provider's business location address is:

30 ROANOKE RD
MATAWAN, NJ
ZIP 07747-517
Phone: (732) 636-6710
Fax: (732) 636-5936

The provider's authorized official is James Casale .
The authorized official title is Executive Director and has the following contact phone number (732) 636-6710.

The enumeration date for this NPI number is 6/3/2015 and was last updated on 6/3/2015.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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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