National Provider Identifier Database

NEW JERSEY INSTITUTE FOR DISABILITIES INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

NEW JERSEY INSTITUTE FOR DISABILITIES, INC
401 MATCHAPONIX RD
OLD BRIDGE TOWNSHIP, NJ08857
Phone: 732-549-6187
Fax: 732-590-2431
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for NEW JERSEY INSTITUTE FOR DISABILITIES, INC

NPI Number 1730615493
Legal business name
LBN
NEW JERSEY INSTITUTE FOR DISABILITIES, INC
Authorized official ROBERT FERRARA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/02/2017
Last updated 05/02/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: GH244
  • NJ Medicaid: 0463477

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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