STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL NPI 1982642641

NPI Information

NPI: 1982642641
Provider Name: STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

Doing Business As: WOODBINE DEVELOPMENTAL CENTER

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1175 DEHIRSCH AVE
WOODBINE, NJ
ZIP 08270
Phone: (609) 861-2164
Get Directions

STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL is a residential treatment facility, intellectual and/or developmental disabilities in Woodbine, 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 1982642641. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodbine Developmental Center.

The provider's business location address is:

1175 DEHIRSCH AVE
WOODBINE, NJ
ZIP 08270-401
Phone: (609) 861-2164
Fax: (609) 861-5176

The provider's authorized official is Robert J Armstrong .
The authorized official title is Ceo and has the following contact phone number (609) 861-6041.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 1/9/2017.

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	4472004	MEDICAID	NEW JERSEY
2	528582	OTHER	NEW JERSEY	PROVIDER GROUP
3	314095	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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