JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED – NPI #1104526367
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED is a residential treatment facility located in WEST ORANGE, NJ. NPPES has assigned the NPI number 1104526367 to JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED on March 07, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 3 years ago on Jun 21, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED below.

NPI Profile for
JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED

NPI Number
1104526367
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEWISH SERVICE FOR THE DEVELOPMENTALLY DISABLED
Primary location
555 NORTHFIELD AVE UNIT 321
WEST ORANGE, NJ 07052-2426
Phone: (973) 272-7148 Fax: (973) 992-1509
5 Other location(s):
555 Northfield Ave Unit 121
West Orange, NJ 07052-2426
Phone: (973) 272-7148
Fax: (973) 992-1509
555 Northfield Ave Unit 207
West Orange, NJ 07052-2426
Phone: (973) 272-7148
Fax: (973) 992-1509
555 Northfield Ave Unit 221
West Orange, NJ 07052-2426
Phone: (973) 272-7148
Fax: (973) 992-1509
555 Northfield Ave Unit 222
West Orange, NJ 07052-2426
Phone: (973) 272-7148
Fax: (973) 992-1509
555 Northfield Ave Unit 306
West Orange, NJ 07052-2426
Phone: (973) 272-7148
Fax: (973) 992-1509
Mailing address
310 EISENHOWER PKWY
LIVINGSTON, NJ 07039-1708
Phone: (973) 272-7148 Fax: (973) 992-1509
Organization Subpart
No
Authorized Official
LINDA PRESS
EXECUTIVE DIRECTOR
Phone: (973) 272-7141
Updated
Certification Date
Jun 21, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.