JEWISH ASSOCIATION FOR DEVELOPMENTAL DISABILITIES


Address: 13 Hallberg Ave, Bergenfield, NJ 07621-2615
Phone: 2014391131

JEWISH ASSOCIATION FOR DEVELOPMENTAL DISABILITIES (NPI# 1629502232) 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) 1629502232
Entity Type Organization
Organization Name JEWISH ASSOCIATION FOR DEVELOPMENTAL DISABILITIES
Other Organization Name J-ADD INC.
Practice Address 13 Hallberg Ave
Bergenfield
NJ 07621-2615
Mailing Address 190 Moore St
Suite 272
Hackensack
NJ 07601-7424
Practice Telephone 2014391131
Practice Fax Number 2014391276
Mailing Telephone 2014570058
Mailing Fax Number 2014570025
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Authorized Official Name DR. JOHN J WINER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2014570058
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities GH472 NJ Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
J-ADD Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649734021 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1495 E Terrace Cir Apt 2, Teaneck, NJ 07666-5224 2019-01-30
1992217798 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 118 Ayers Ct Apt 1a, Teaneck, NJ 07666-5129 2017-11-02
1508392028 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 310 Manor Rd, Englewood, NJ 07631-1536 2017-05-03
1518492792 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Ayers Ct Apt 1a, Teaneck, NJ 07666-5133 2017-04-26
1225563588 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 71 Ayers Ct, Apt 1b, Teaneck, NJ 07666-5145 2017-04-25
1528593829 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 122 New Bridge Rd, Bergenfield, NJ 07621-4115 2017-04-24
1114451739 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1-20 29th St, Fair Lawn, NJ 07410-3949 2017-04-20
1457886004 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1390 Hill St, Apt 1b, Teaneck, NJ 07666-5123 2017-04-20
1134653736 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 134 Pinewood Pl, Teaneck, NJ 07666-4921 2017-04-20
1801320437 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 128 Palisade Ave, Leonia, NJ 07605-1924 2017-04-20

Office Location

Street Address 13 HALLBERG AVE
City BERGENFIELD
State NJ
Zip Code 07621-2615

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NPI Name Taxonomy Address Enumeration
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1609257591 Maria C. Stone, Lcsw, LLC Social Worker 29 Legion Drive, Bergenfield, NJ 07621 2015-06-16
1003219536 Ismile Dental Associates Dentist 22 N Washington Ave., Bergenfield, NJ 07621 2014-09-29
1710399415 Maria Rena Penecilla Registered Nurse 74 Madison Ave, Bergenfield, NJ 07621 2014-05-29
1619394954 Russell L Sadang Physical Therapist 103 Carnation St, Bergenfield, NJ 07621 2014-03-25
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508375502 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4 N Christie St, Bergenfield, NJ 07621-2203 2017-09-22
1528593829 Jewish Association for Developmental Disabilities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 122 New Bridge Rd, Bergenfield, NJ 07621-4115 2017-04-24
1689054447 Rem New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 302 W Main St, Bergenfield, NJ 07621-1538 2015-06-05

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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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Competitor

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City BERGENFIELD
Zip Code 07621

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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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