DUNGARVIN NEW JERSEY, LLC-DAWSON


Address: 12 Dawson Rd, Kendall Park, NJ 08824
Phone: 7322971532

DUNGARVIN NEW JERSEY, LLC-DAWSON (NPI# 1013363779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013363779
Entity Type Organization
Organization Name DUNGARVIN NEW JERSEY, LLC-DAWSON
Practice Address 12 Dawson Rd
Kendall Park
NJ 08824
Mailing Address 1543 State Route 27
Suite 24
Somerset
NJ 08873-4015
Practice Telephone 7322971532
Mailing Telephone 7324637227
Enumeration Date 2016-05-11
Last Update Date 2018-07-13
Authorized Official Name MR. TIMOTHY MADDEN (CHAIRMAN OF THE BOARD & CEO)
Authorized Official Telephone 6517895905
Is Organization Subpart Y
Parent Organization Name DUNGARVIN GROUP, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0494275 05

Office Location

Street Address 12 DAWSON RD
City KENDALL PARK
State NJ
Zip Code 08824

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496872 Laura Funk Physical Therapist 3562 Route 27, Suite 124, Kendall Park, NJ 08824 2020-10-29
1639660178 Megan Patterson, LLC Social Worker 3176 Nj Route 27, Suite 2b, Kendall Park, NJ 08824 2018-05-21
1073032363 Mosaic Impex Inc Occupational Therapy Assistant 45 Hastings Road, Kendall Park, NJ 08824 2017-09-18
1497293708 Nicholas Andrew Demetriou Specialist/Technologist 13 Dillon Road, Kendall Park, NJ 08824 2017-02-07
1780031054 Community Options Enterprises, Inc Day Training, Developmentally Disabled Services 3330 Highway 27, Kendall Park, NJ 08824 2016-05-17
1538515390 Dungarvin New Jersey, LLC-berwick Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19 Berwick Rd, Kendall Park, NJ 08824 2016-05-11
1912388471 Dungarvin New Jersey, LLC-cranston Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 30 Cranston Rd, Kendall Park, NJ 08824 2015-06-10
1184017469 Suk-ying Wang Clinical Nurse Specialist 3270 Route 27 Suite 1200, Kendall Park, NJ 08824 2015-03-11
1386980100 Payal Shah Pharmacist 27 Villanova Drive, Kendall Park, NJ 08824 2012-12-26
1912242280 Katrina Carter Physical Therapist 3562 Nj 27, Kendall Park, NJ 08824 2012-11-28
Find all providers in zip 08824

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831717644 Premier Supports, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 115 New Rd, Kendall Park, NJ 08824-1132 2020-07-08
1316503287 Premier Supports, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7 Cranston Rd, Kendall Park, NJ 08824-1115 2019-05-15
1922525955 Dungarvin New Jersey, LLC - Stockton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 18 Stockton Rd, Kendall Park, NJ 08824-1212 2017-08-30
1942726641 The Arc Middlesex County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 24 Kingsley Rd, Kendall Park, NJ 08824-1147 2017-08-15
1669909479 Everas Community Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 78 Stillwell Rd, Kendall Park, NJ 08824-1438 2017-05-11
1538515390 Dungarvin New Jersey, LLC-berwick Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19 Berwick Rd, Kendall Park, NJ 08824 2016-05-11
1275903759 Community Options, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 38 Constable Rd, Kendall Park, NJ 08824-1153 2015-09-28
1184094666 Community Options, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 63 Henderson Rd, Kendall Park, NJ 08824-1506 2015-09-28
1467821827 Community Options, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2 Aldrich Rd, Kendall Park, NJ 08824-1214 2015-09-16
1912388471 Dungarvin New Jersey, LLC-cranston Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 30 Cranston Rd, Kendall Park, NJ 08824 2015-06-10
Find all providers in KENDALL PARK

Competitor

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City KENDALL PARK
Zip Code 08824

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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