Organization
CEREBRAL PALSY OF NORTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK BORNSTEIN CPA (CHIEF FINANCIAL OFFICER)
(973) 821-8107
Entity
Organization
Contact information
Practice address
23 OAK AVE, WEST ORANGE, NJ 07052-2409
(973) 731-1700
Mailing address
220 S ORANGE AVE STE 300, LIVINGSTON, NJ 07039-5800
(973) 763-9900
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479268
—
NJ
Enumeration date
09/01/2017
Last updated
02/28/2023
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