ALBERT EINSTEIN MEDICAL CENTER (NPI# 1144619263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144619263 |
Entity Type | Organization |
Organization Name | ALBERT EINSTEIN MEDICAL CENTER |
Other Organization Name | MOSS REHAB - DRUCKER BRAIN INJURY CENTER (WOODBURY, NJ) |
Practice Address |
135 S Broad St Woodbury NJ 08096-2441 |
Mailing Address |
5501 Old York Rd Philadelphia PA 19141-3018 |
Practice Telephone | 8568539900 |
Mailing Telephone | 2154569000 |
Enumeration Date | 2015-01-13 |
Last Update Date | 2015-01-13 |
Authorized Official Name | MR. WALTER G WYATT (ASSOC VP-FINANCE) |
Authorized Official Telephone | 2152543254 |
Is Organization Subpart | Y |
Parent Organization Name | ALBERT EINSTEIN MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | TB1078 | NJ | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 8079102 | 05 | |
NJ | 8756601 | 05 |
Other Name | Type Code |
---|---|
MOSS REHAB - DRUCKER BRAIN INJURY CENTER (WOODBURY, NJ) | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851729420 | Albert Einstein Medical Center | Pharmacy | 1321 W Tabor Rd, Philadelphia, PA 19141-3020 | 2013-10-17 |
1205046448 | Albert Einstein Medical Center | General Acute Care Hospital | 226 W Rittenhouse Sq, Unit 2202, Philadelphia, PA 19103-5768 | 2007-05-23 |
1750594487 | Albert Einstein Medical Center | General Acute Care Hospital | 5501 North Broad Street, Philadelphia, PA 19141 | 2007-05-08 |
1518261643 | Albert Einstein Medical Center | Nurse Practitioner | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2011-01-04 |
1891010229 | Albert Einstein Medical Center | Pharmacy | 9880 Bustleton Ave, Suite 332, Philadelphia, PA 19115-2185 | 2010-03-29 |
1710136247 | Albert Einstein Medical Center | General Acute Care Hospital | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2008-09-09 |
1952506594 | Albert Einstein Medical Center | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, 510 Klein Building, Philadelphia, PA 19141-3018 | 2007-06-15 |
1528269073 | Albert Einstein Medical Center | General Acute Care Hospital | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2007-05-31 |
1851592620 | Albert Einstein Medical Center | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2007-05-30 |
1285845537 | Albert Einstein Medical Center | General Acute Care Hospital | 1305 York Ave, 10th Floor, New York, NY 10021-5663 | 2007-05-25 |
Street Address |
135 S BROAD ST |
City | WOODBURY |
State | NJ |
Zip Code | 08096-2441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619448792 | Carolyn Geba | Clinical Neuropsychologist | 135 S Broad St, Woodbury, NJ 08096-2441 | 2018-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
Find all providers in zip 08096 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699305086 | Eddie Benjamin Davis IIi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1966 Melvina Rd, Woodbury, NJ 08096-5613 | 2020-01-24 |
1457867368 | Crescent Ave Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 Crescent Ave, Woodbury, NJ 08096-5001 | 2017-12-15 |
1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
1528592276 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 637 Tanyard Road, Woodbury, NJ 08096 | 2017-04-19 |
1881908010 | Life Center for A New Tomorrow, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 220 Sunshine Ln, Woodbury, TN 37190-4002 | 2010-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
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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.