NEW JERSEY INSTITUTE FOR DISABILITIES, INC (NPI# 1386128569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386128569 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY INSTITUTE FOR DISABILITIES, INC |
| Practice Address |
14 Edgemount Rd Edison NJ 08817-2904 |
| Mailing Address |
10a Oak Drive, Roosevelt Park Edison NJ 08837-2313 |
| Practice Telephone | 7325496187 |
| Practice Fax Number | 7325902431 |
| Mailing Telephone | 7325496187 |
| Mailing Fax Number | 7325902431 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-25 |
| Authorized Official Name | ROBERT FERRARA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7325496187 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0463477 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812293 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 124 Marlin Rd, Manahawkin, NJ 08050-1738 | 2018-08-28 |
| 1366923344 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Aspen Cir, Barnegat, NJ 08005-2019 | 2018-08-27 |
| 1053848432 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2401 Sunnyview Oval, Keasbey, NJ 08832-1066 | 2017-05-17 |
| 1831626142 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Sunnyview Oval, Keasbey, NJ 08832-1066 | 2017-05-17 |
| 1467989780 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2411 Sunnyview Oval, Keasbey, NJ 08832-1064 | 2017-05-17 |
| 1093242315 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2413 Sunnyview Oval, Keasbey, NJ 08832-1064 | 2017-05-17 |
| 1821525130 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2415 Sunnyview Oval, Keasbey, NJ 08832-1064 | 2017-05-17 |
| 1285161596 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2505 Sunnyview Oval, Keasbey, NJ 08832-1056 | 2017-05-17 |
| 1992232201 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2511 Sunnyview Oval, Keasbey, NJ 08832-1056 | 2017-05-17 |
| 1629505938 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2513 Sunnyview Oval, Keasbey, NJ 08832-1063 | 2017-05-17 |
| Street Address |
14 EDGEMOUNT RD |
| City | EDISON |
| State | NJ |
| Zip Code | 08817-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862750 | Ling Zhu | Pharmacist | 2124 A State Route 27, Edison, NJ 08817 | 2020-08-18 |
| 1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
| 1518582956 | Ismile Dental Care of Edison | Dentist | 1914 B Route 27, Edison, NJ 08817 | 2020-06-11 |
| 1437704905 | Ethel Diagnostic Laboratory | Pathology | 4 Ethel Road, Suite 402a, Edison, NJ 08817 | 2019-08-01 |
| 1316509250 | Hyun Sang Lee | Optometrist | 2210 Route 27 North, Edison, NJ 08817 | 2019-07-01 |
| 1578022851 | Labor of Love Healthcare LLC | Nursing Care | 1967 Lincoln Highway, Suite 33, Edison, NJ 08817 | 2019-03-18 |
| 1932664349 | Marlene Bott | Occupational Therapist | 2035 Lincoln Highway, Edison Square West, Edison, NJ 08817 | 2019-02-11 |
| 1174092928 | Neil Bakhru | Occupational Therapist | 802 Merrywood Drive, Edison, NJ 08817 | 2018-11-21 |
| 1164912697 | Milton Perez | Driver | 14m Reading Rd, Edison, NJ 08817 | 2018-05-10 |
| 1366931891 | Roseanna Perez | Recreation Therapist | 14m Reading Rd., Edison, NJ 08817 | 2018-05-10 |
| Find all providers in zip 08817 | ||||
| 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 |
|---|---|---|---|---|
| 1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
| 1760948681 | Janee Michele Lee | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1030 Grove Ave Apt 24g, Edison, NJ 08820-1537 | 2019-02-15 |
| 1164949079 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Cambridge Rd, Edison, NJ 08817-3807 | 2017-08-23 |
| 1649796459 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 Marie Ln, Edison, NJ 08817-4663 | 2017-08-15 |
| 1730605544 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 46 Roxy Ave, Edison, NJ 08820-1662 | 2017-08-15 |
| 1003338849 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1313 Waterford Dr, Edison, NJ 08817-1928 | 2017-07-13 |
| 1942722780 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1314 Waterford Dr, Edison, NJ 08817-1928 | 2017-07-13 |
| 1871015610 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 Waterford Dr, Edison, NJ 08817-1929 | 2017-07-13 |
| 1326560152 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1316 Waterford Dr, Edison, NJ 08817-1929 | 2017-07-13 |
| 1043732878 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1318 Waterford Dr, Edison, NJ 08817-1929 | 2017-07-13 |
| Find all providers in EDISON | ||||
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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.