PENNREACH (NPI# 1184138646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184138646 |
| Entity Type | Organization |
| Organization Name | PENNREACH |
| Practice Address |
667 E 33rd St Paterson NJ 07513-1158 |
| Mailing Address |
18 S Main St Allentown NJ 08501-1610 |
| Practice Telephone | 7329634523 |
| Practice Fax Number | 6092594120 |
| Mailing Telephone | 7329634523 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | PAULINE BAILO (DIRECTOR) |
| Authorized Official Telephone | 2154752401 |
| Is Organization Subpart | N |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
| 1841845690 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Waker Avenue, Allentown, NJ 08501-0850 | 2019-08-08 |
| 1144875071 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 810, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1053966986 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 812, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1417502345 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 814, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1376198275 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 910, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1245885185 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 912, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1497300354 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 914, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1326693284 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 1008, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| 1144875006 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Main St Apt 1010, Fort Lee, NJ 07024-6909 | 2019-08-07 |
| Street Address |
667 E 33RD ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07513-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528508512 | Pure Kinetics | Durable Medical Equipment & Medical Supplies | 683 E 34th Street, Paterson, NJ 07513 | 2017-02-24 |
| 1265692610 | Gloria Maria Mejia | Pediatrics | 534 - 21st Avenue, Paterson, NJ 07513 | 2008-06-10 |
| 1669565164 | Paresh Thakorbhai Gandhi | Pharmacist | 608 21 St Ave, Paterson, NJ 07513 | 2006-10-02 |
| 1780645374 | Edgar Rafael Mejia | Pediatrics | 760 Market St., Paterson, NJ 07513 | 2006-03-31 |
| 1457593196 | Coral Diagnostics, LLC | Emergency Medicine | 684 Market St, Paterson, NJ 07513-1231 | 2009-03-26 |
| 1629284195 | Robert Evans | Chiropractor | 726 Market St, Paterson, NJ 07513-1235 | 2007-05-14 |
| 1265489116 | Edgar R. Mejia Md Pa | Pediatrics | 760 Market St, Paterson, NJ 07513-1241 | 2006-05-27 |
| 1952651648 | Jayna Patel | Registered Nurse | 760 Market St, Paterson, NJ 07513-1241 | 2012-09-11 |
| 1871660944 | Billstra Pharmacy LLC | Pharmacy | 608 21st Ave, Paterson, NJ 07513-1261 | 2006-11-30 |
| 1477176501 | Gabriel Fernandez | Pharmacy Technician | 608 21st Ave, Paterson, NJ 07513-1261 | 2020-05-23 |
| Find all providers in zip 07513 | ||||
| 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 |
|---|---|---|---|---|
| 1598283202 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 691 14th St, Paterson, NJ 07505 | 2017-09-01 |
| 1669990438 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 203 E 32nd St, Paterson, NJ 07504-1510 | 2017-08-31 |
| 1427575406 | Youth Consultation Service, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33-35 Thomas St Apt 3, Paterson, NJ 07503-2354 | 2017-08-29 |
| 1720505696 | Youth Consultation Service, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 126 Buffalo Ave Unit 2, Paterson, NJ 07503-1812 | 2017-08-23 |
| 1326565201 | Youth Consultation Service, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 126 Buffalo Ave Unit 3, Paterson, NJ 07503-1812 | 2017-08-23 |
| 1083130173 | Youth Consultation Service, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33-35 Thomas St Apt 2, Paterson, NJ 07503-2354 | 2017-08-21 |
| 1376070060 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 E 37th St, Paterson, NJ 07514-1212 | 2017-05-12 |
| 1255711834 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 234-36 Chatham Ave, Paterson, NJ 07502 | 2015-06-09 |
| 1275913261 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33-35 Thomas St, Paterson, NJ 07503-2353 | 2015-06-04 |
| 1558741876 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 126 Buffalo Ave, Paterson, NJ 07503-1812 | 2015-06-02 |
| Find all providers in PATERSON | ||||
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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.