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STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL NPI 1922046903


NPI Information

NPI: 1922046903
Provider Name: STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

Doing Business As: NORTH JERSEY DEVELOPMENTAL CENTER

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
169 MINNISINK RD
TOTOWA, NJ
ZIP 07512
Phone: (973) 256-1700
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STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL is a residential treatment facility, intellectual and/or developmental disabilities in Totowa, 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 1922046903. The provider is registered as an organization entity type.
The provider Is Doing Business As North Jersey Developmental Center.

The provider's business location address is:

169 MINNISINK RD
TOTOWA, NJ
ZIP 07512-803
Phone: (973) 256-1700
Fax: (973) 256-7651

The provider's authorized official is Bruce Werkheiser .
The authorized official title is Ceo and has the following contact phone number (973) 890-4540.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 3/27/2008.


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
1320600000XResidential 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14497601MEDICAIDNEW JERSEY
2528584OTHERNEW JERSEYMEDICARE BILLING GROUP NO
3314093MEDICARE OSCAR/CERTIFICATIONNEW 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

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