BANCROFT, A NEW JERSEY NONPROFIT CORPORATION; NPI #1609321256

Contact Information

BANCROFT, A NEW JERSEY NONPROFIT CORPORATION

1255 CALDWELL RD
CHERRY HILL, NJ 08034-3220

Phone: 856-348-1175
Fax: 856-375-8358
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Intellectual & Developmental Disabilities	103TM1800X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for BANCROFT, A NEW JERSEY NONPROFIT CORPORATION

NPI # 1609321256

LBN Legal business name BANCROFT, A NEW JERSEY NONPROFIT CORPORATION

Authorized official TONI PERGOLIN - (PRESIDENT / CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/23/2016

Last updated 11/08/2023 - About 3 years ago

Identifiers

NJ	License #	PRF101
NJ	Other	500549	MEDICARE PTAN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BANCROFT, A NEW JERSEY NONPROFIT CORPORATION

Contact Information

Specialty

Intellectual & Developmental Disabilities

NPI Profile & details for BANCROFT, A NEW JERSEY NONPROFIT CORPORATION

Reviews for BANCROFT, A NEW JERSEY NONPROFIT CORPORATION