STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL


Address: 169 Minnisink Rd, Totowa, NJ 07512-1803
Phone: 9732561700

STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL (NPI# 1922046903) 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) 1922046903
Entity Type Organization
Organization Name STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Other Organization Name NORTH JERSEY DEVELOPMENTAL CENTER
Practice Address 169 Minnisink Rd
Totowa
NJ 07512-1803
Mailing Address Po Box 169
Totowa
NJ 07511-0169
Practice Telephone 9732561700
Practice Fax Number 9732567651
Mailing Telephone 9732561700
Mailing Fax Number 9732567651
Enumeration Date 2006-06-03
Last Update Date 2008-03-27
Authorized Official Name MR. BRUCE WERKHEISER (CEO)
Authorized Official Telephone 9738904540
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ MEDICARE BILLING GROUP NO 528584 01
NJ 4497601 05

Other Provider/Organization Names

Other Name Type Code
North Jersey Developmental Center Doing Business As Name - 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
1225077290 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 275 Greenbrook Rd, Green Brook, NJ 08812-2223 2006-06-05
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 169 MINNISINK RD
City TOTOWA
State NJ
Zip Code 07512-1803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073679510 Ethel D Baruiz Pediatrics 169 Minnisink Rd, Totowa, NJ 07512-1803 2006-12-29
1306911763 Meera Venkataraman Prakash Psychiatry & Neurology 169 Minnisink Rd, North Jersey Developmental, Totowa, NJ 07512-1803 2006-11-21
1356384341 Roman Chrucky Family Medicine 169 Minnisink Rd, Totowa, NJ 07512-1803 2006-06-14
1962441873 Indira Ravishankar General Practice 169 Minnisink Rd, Totowa, NJ 07512-1803 2006-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396265682 Joseph Choi Student in an Organized Health Care Education/Training Program 136 Independence Trail, Totowa, NJ 07512 2017-06-27
1508228537 Psycho-educational Associates Community/Behavioral Health 999 Riverview Dr., Suite 201, Totowa, NJ 07512 2016-03-29
1013381086 De La Torre Chiropractic Center, LLC Chiropractor 159 Union Blvd, Unit B, Totowa, NJ 07512 2015-11-13
1396123527 Pratiksha Pandit Chesney Physical Therapist 10 Crews St., Totowa, NJ 07512 2015-05-07
1356735666 Ne Health Management LLC Clinic/Center 195 Us Hwy 46 West Suite 4, Totowa, NJ 07512 2015-03-25
1477989218 Medical Nutrition of Nj, LLC Nutritionist 137 Union Blvd, Totowa, NJ 07512 2013-09-25
1245503648 Biologictx LLC Pharmacy 40d Commerce Way, Totowa, NJ 07512 2012-02-15
1982987293 Jorge De La Torre Jr. Chiropractor 442 Union Blvd, Store Front, Totowa, NJ 07512 2011-09-22
1851699540 Leilani Irisari Toomey Physical Therapist 140 Sheperds Ln#1, Totowa, NJ 07512 2011-03-04
1972803526 Maria E Tapia Social Worker 555 Preakness Ave., Totowa, NJ 07512 2010-10-29
Find all providers in zip 07512

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 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
Find all providers with the same taxonomy

Competitor

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City TOTOWA
Zip Code 07512

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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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