STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL


Address: 1175 Dehirsch Ave, Woodbine, NJ 08270-2401
Phone: 6098612164

STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL (NPI# 1982642641) 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) 1982642641
Entity Type Organization
Organization Name STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Other Organization Name WOODBINE DEVELOPMENTAL CENTER
Practice Address 1175 Dehirsch Ave
Woodbine
NJ 08270-2401
Practice Telephone 6098612164
Practice Fax Number 6098615176
Mailing Telephone 6098612164
Mailing Fax Number 6098615176
Enumeration Date 2006-06-03
Last Update Date 2017-01-09
Authorized Official Name MR. ROBERT J ARMSTRONG (CEO)
Authorized Official Telephone 6098616041
Authorized Official Credential RN, BSN, MSA
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 4472004 05
NJ PROVIDER GROUP 528582 01

Other Provider/Organization Names

Other Name Type Code
Woodbine 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
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
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 1175 DEHIRSCH AVE
City WOODBINE
State NJ
Zip Code 08270-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598389330 Michael Kreckel Physical Therapist 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 2020-06-07
1093191264 Partners Pharmacy LLC Pharmacy 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 2015-08-10
1285881433 Charles F Siebert Jr. Pathology 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 2008-08-19
1912035205 John Francis Mcgrail Psychiatry & Neurology 1175 Dehirsch Ave, Woodbine Developmental Center, Woodbine, NJ 08270-2401 2007-03-01
1902992357 Jae M Chu General Practice 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 2006-10-05
1770674905 Maurice Xuan Levan General Practice 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 2006-09-27
1114030962 Anthony Edward Campbell General Practice 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 2006-08-16
1750315198 Gregory R Novotny Internal Medicine 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 2006-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285168864 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1175 Dehirsch Avenue, Apt B, Woodbine, NJ 08270 2017-04-20
1033545355 Matthew Ryan Newsome Specialist/Technologist 5 Lindsay Lane, Petersburg, NJ 08270 2013-09-18
1932347416 Nancy Marie Hansen Massage Therapist 210 Sumner Ave, Woodbine, NJ 08270 2009-01-22
1700919594 Woodbine Dental Pa Dentist 901 Dehirsch Avenue, Woodbine, NJ 08270 2007-03-13
1992869234 Julia Lynn Hankerson Social Worker 534 Washington Ave, Woodbine, NJ 08270 2006-12-21
1255405569 Alan R. Soltys Internal Medicine De Hirsch Avenue, Woodbine, NJ 08270 2006-11-20
1467404251 Sandra L Russo Family Medicine 713 Dehirsch Ave, Woodbine, NJ 08270 2006-05-17
1205361839 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1175 Dehirsch Avenue, Apt A, Woodbine, NJ 08270 2017-04-20
1710168778 Brenda Nathan Dentist 901 Dehirsch Avenue, Woodbine, NJ 08270 2007-11-19
1700066115 Howard Epstein Dentist 901 Dehirsch Avenue, Woodbine, NJ 08270 2007-11-14
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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 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 WOODBINE
Zip Code 08270

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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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