STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL


Address: 275 Greenbrook Rd, Green Brook, NJ 08812-2223
Phone: 7329686000

STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL (NPI# 1225077290) 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) 1225077290
Entity Type Organization
Organization Name STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Other Organization Name GREEN BROOK DEVELOPMENTAL CENTER
Practice Address 275 Greenbrook Rd
Green Brook
NJ 08812-2223
Practice Telephone 7329686000
Practice Fax Number 7329680373
Mailing Telephone 7329686000
Mailing Fax Number 7329680373
Enumeration Date 2006-06-05
Last Update Date 2014-06-09
Authorized Official Name MR. ANTONIO BRINDISI (ACTING CEO)
Authorized Official Telephone 7329685566
Is Organization Subpart Y
Parent Organization Name STATE OF NEW JERSEY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 25MA04607800 NJ Residential Treatment Facilities
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 31-G009 NJ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE BILLING GROUP NU 528587 01
NJ 4503309 05

Other Provider/Organization Names

Other Name Type Code
Green Brook Developmental Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487680294 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1275 Rahway Avenue, Avenel, NJ 07095-0189 2006-06-23
1255375929 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Rte 72 East, New Lisbon, NJ 08064-0130 2006-06-15
1811931504 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 40 Pittstown Rd, Clinton, NJ 08809-1209 2006-06-15
1588607725 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1676 E Landis Ave, Vineland, NJ 08362-1513 2006-06-14
1922046903 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 169 Minnisink Rd, Totowa, NJ 07512-1803 2006-06-03
1982642641 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 2006-06-03
1356734271 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 275 Greenbrook Rd, Green Brook, NJ 08812-2223 2015-03-17
1528239274 State of New Jersey Omb Centralized Payroll Skilled Nursing Facility 132 Evergreen Rd, Edison, NJ 08837-2484 2008-03-20
1629155502 State of New Jersey Omb Centralized Payroll Psychiatric Hospital 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2006-10-31
1336221878 State of New Jersey Omb Centralized Payroll Psychiatric Hospital 59 Koch Ave, Morris Plains, NJ 07950-4400 2006-10-20

Office Location

Street Address 275 GREENBROOK RD
City GREEN BROOK
State NJ
Zip Code 08812-2223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366976417 Stephane Myrtele Laguerre Psychiatric Hospital 275 Greenbrook Rd, Green Brook, NJ 08812-2223 2017-04-16
1356734271 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 275 Greenbrook Rd, Green Brook, NJ 08812-2223 2015-03-17
1932323961 Jacquelyn Willis Licensed Practical Nurse 275 Greenbrook Rd, Green Brook, NJ 08812-2223 2007-04-12
1265534820 Suzan Y Khalil Internal Medicine 275 Greenbrook Rd, Green Brook, NJ 08812-2223 2006-09-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245882687 Patel Eye Associates Optometrist Patel Eye Associates, 228 Plainfield Ave, Edison, NJ 08812 2019-07-16
1922500990 Maximum Health & Wellness Manville Acupuncturist 119 Us 22, Green Brook Twsp, NJ 08812 2018-03-06
1689991515 Wellness Life Counseling, LLC Community/Behavioral Health 235 Rt. 22 East, Green Brook, NJ 08812 2010-05-03
1649402140 Catherine Binder Occupational Therapist 303 Rock Avenue, Green Brook, NJ 08812 2009-08-17
1760664213 Snehal M Desai Pharmacist 6 Pheasant Road, Green Brook, NJ 08812 2007-11-27
1174719934 Keron A Sinclair Family Medicine 1005 No Washington Ave, Green Brook, NJ 08812 2007-09-14
1225221989 Family Care,p.a. Clinic/Center 257 Route 22 E, Green Brook, NJ 08812 2007-08-24
1477743011 Ronald Bass Durable Medical Equipment & Medical Supplies 6 Andrew Street, Green Brook, NJ 08812 2007-07-30
1023208022 Richard D Collins Chiropractor 146 New Market Road, Dunellen, NJ 08812 2007-07-26
1326251307 Bridgewater-greenbrook Dental L.l.p Dentist 257 Route 22 East, Suite C, Green Brook, NJ 08812 2007-05-07
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356734271 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 275 Greenbrook Rd, Green Brook, NJ 08812-2223 2015-03-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912508979 A.d.e.p.t. Programs, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 760 Eayrestown Rd # B2-01, Lumberton, NJ 08048-3162 2020-11-05
1508467556 A.d.e.p.t. Programs, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 760 Eayrestown Rd Apt A2-10, Lumberton, NJ 08048-3180 2020-11-05
1629684451 Reed Next, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 300 Avalon Dr Unit 3104, Wood Ridge, NJ 07075-1063 2020-09-17
1558971184 Fordham-lewis Consulting, L.L.C. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 370 Clinton Ave, Wyckoff, NJ 07481-1939 2020-08-07
1649889668 Options Imagined A Nj Nonprofit Corporation Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2467 State Route 10 Bldg 18-1a, Morris Plains, NJ 07950-1318 2020-07-27
1609405661 New Horizons In Autism, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 718 Vivian Dr, Toms River, NJ 08753-5474 2020-04-02
1588299390 Developmental Disability Awareness With Love (ddawl) Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2 Stiles Ln, Montville, NJ 07045-9424 2020-03-12
1265065981 Olusina Oladipo Coker Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 424 Emma Dr, Toms River, NJ 08755-6412 2020-02-20
1790317378 Attain & Gain Counseling, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 15 Ralph Road, West Orange, NJ 07052 2020-02-11
1821638180 Woods Manor Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 321 Overbrook Ave, Glassboro, NJ 08028-2029 2020-01-14
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Competitor

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City GREEN BROOK
Zip Code 08812

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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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