WILLOWGLEN ACADEMY-NEW JERSEY, INC. – NPI #1962888990
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

WILLOWGLEN ACADEMY-NEW JERSEY, INC. is a community based residential treatment facility located in FREDON TOWNSHIP, NJ. NPPES has assigned the NPI number 1962888990 to WILLOWGLEN ACADEMY-NEW JERSEY, INC. on July 31, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. WILLOWGLEN ACADEMY-NEW JERSEY, INC. is also known by the name WGA FREDON. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 2 years ago on Dec 12, 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 WILLOWGLEN ACADEMY-NEW JERSEY, INC. below.

NPI Profile for
WILLOWGLEN ACADEMY-NEW JERSEY, INC.

NPI Number
1962888990
Enumeration Date

(about 11 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
WILLOWGLEN ACADEMY-NEW JERSEY, INC.
Other Name: WGA FREDON
Primary location
429 RIDGE ROAD
FREDON TOWNSHIP, NJ 07860
Phone: (973) 579-3700 Fax: (973) 579-1786
Mailing address
8 WILSON DRIVE
SPARTA, NJ 07871-3491
Phone: (973) 579-3700 Fax: (973) 579-1786
Organization Subpart
Yes - WILLOWGLEN ACADEMY-NEW JERSEY, INC. is subpart of another organization.
Authorized Official
PATRICIA BATES
CONTROLLER
Phone: (973) 579-3700
Updated
Certification Date
Dec 12, 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
320900000X
- Community Based 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.