Organization
NEW JERSEY INSTITUTE FOR DISABILITIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT FERRARA (PRESIDENT)
(732) 549-6187
Entity
Organization
Contact information
Practice address
219 SERPENT LN, MANAHAWKIN, NJ 08050-2037
(732) 549-6187
(732) 590-2431
Mailing address
10A OAK DRIVE ROOSEVELT PARK, EDISON, NJ 08837-2313
(732) 549-6187
(732) 590-2431
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463477
—
NJ
01
—
GH3157
VID#
NJ
Enumeration date
11/13/2024
Last updated
11/13/2024
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