STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL NPI 1487680294

NPI Information

NPI: 1487680294
Provider Name: STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

Doing Business As: WOODBRIDGE DEVELOPMENTAL CENTER

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1275 RAHWAY AVENUE
AVENEL, NJ
ZIP 07095
Phone: (732) 499-5951
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STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL is a residential treatment facility, intellectual and/or developmental disabilities in Avenel, 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 1487680294. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodbridge Developmental Center.

The provider's business location address is:

1275 RAHWAY AVENUE
AVENEL, NJ
ZIP 07095-189
Phone: (732) 499-5951

The provider's authorized official is Michael Crooks .
The authorized official title is Medical Director and has the following contact phone number (732) 499-5673.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 4/24/2008.

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				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	528581	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	314096	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: 5/5/2024

NPI Synchronization or Removal

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