WILLOWGLEN ACADEMY-NEW JERSEY, INC. (NPI# 1275919300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275919300 |
| Entity Type | Organization |
| Organization Name | WILLOWGLEN ACADEMY-NEW JERSEY, INC. |
| Other Organization Name | WGA NEW LISBON 2 |
| Practice Address |
37 Employee Lane New Lisbon NJ 08064 |
| Mailing Address |
8 Wilson Drive Sparta NJ 07871-3491 |
| Practice Telephone | 9735793700 |
| Practice Fax Number | 9735791786 |
| Mailing Telephone | 9735793700 |
| Mailing Fax Number | 9735791786 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | MRS. PATRICIA BATES (CONTROLLER) |
| Authorized Official Telephone | 9735793700 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLOWGLEN ACADEMY-NEW JERSEY, INC. |
| 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 Name | Type Code |
|---|---|
| WGA New Lisbon 2 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962888990 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Ridge Road, Fredon, NJ 07860 | 2015-07-31 |
| 1407232432 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 James Street, Newton, NJ 07860 | 2015-07-31 |
| 1073999009 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 19 Wilson Drive, Sparta, NJ 07871 | 2015-07-31 |
| 1144606179 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Big Spring Road, Hardyston, NJ 07460 | 2015-07-31 |
| 1861878894 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 61 Beaver Run Road, Lafayette, NJ 07848 | 2015-07-31 |
| 1972989903 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 190 Munson Hurst Road, Franklin, NJ 07416 | 2015-07-31 |
| 1235515263 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 501 Kings Avenue Suite 1, Cherry Hill, NJ 08002 | 2015-07-31 |
| 1568848620 | Willowglen Academy-new Jersey, Inc. | Day Training, Developmentally Disabled Services | 4 Gail Court, Sparta, NJ 07871 | 2015-07-30 |
| 1851777981 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Roslyn Road, Branchville, NJ 07826 | 2015-07-30 |
| 1568848604 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 194 Plains Road, Frankford, NJ 07826 | 2015-07-30 |
| Street Address |
37 EMPLOYEE LANE |
| City | NEW LISBON |
| State | NJ |
| Zip Code | 08064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801271572 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 Employee Lane, New Lisbon, NJ 08064 | 2015-07-23 |
| 1104205574 | Partners Pharmacy LLC | Pharmacy | 104 Route 72, New Lisbon, NJ 08064 | 2015-05-19 |
| 1306052733 | Post House-county of Burlington | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Road, New Lisbon, NJ 08064 | 2007-05-15 |
| 1801977533 | Essam El-harazy | Internal Medicine | Nldc Route 72, New Lisbon, NJ 08064 | 2006-10-18 |
| 1659460509 | Sangeeta Buddala | Internal Medicine | Rt. 72 East, New Lisbon Developmental Center, New Lisbon, NJ 08064 | 2006-10-11 |
| 1801980008 | Prince G Kottiath | Internal Medicine | Route 72, New Lisbon Developmental Center, Health Services, New Lisbon, NJ 08064 | 2006-10-03 |
| 1770688038 | Keith James Keefer | Family Medicine | Rt 72 E, New Lisbon, NJ 08064 | 2006-09-13 |
| 1932172962 | County of Burlington | Psychiatric Hospital | 600 Pemberton-browns Mills Road, New Lisbon, NJ 08064 | 2006-02-09 |
| 1588900658 | Neil Benson | Dentist | Route 72, New Lisbon Developmental Center, Attn Dental Department, New Lisbon, NJ 08064 | 2012-12-18 |
| 1174663785 | Jacklyn Tadros | Dentist | 600 Pemberton-browns Mills Road, New Lisbon, NJ 08064 | 2007-02-06 |
| Find all providers in zip 08064 | ||||
| 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 |
|---|---|---|---|---|
| 1801271572 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 Employee Lane, New Lisbon, NJ 08064 | 2015-07-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NEW LISBON |
| Zip Code | 08064 |
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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.