# CEREBRAL PALSY OF NORTH JERSEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962869768
- **Authorized official:** MR. RICK BORNSTEIN CPA (CFO)
- **Authorized official phone:** (973) 821-8107

## Contact information

- **Practice address:** 39-41 LINCOLN PARK, APT. 3A & 3D, NEWARK, NJ 07102
- **Practice address phone:** (973) 856-6187
- **Practice address fax:** (973) 856-6188
- **Mailing address:** 220 S ORANGE AVE, SUITE 300, LIVINGSTON, NJ 07039-5804
- **Mailing address phone:** (973) 763-9900
- **Mailing address fax:** (973) 763-9905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 343800000X | Secured Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/25/2016
- **Last updated:** 08/04/2017