Organization
CEREBRAL PALSY OF NORTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK BORNSTEIN CPA (CFO)
(973) 821-8107
Entity
Organization
Contact information
Practice address
220 S ORANGE AVE, SUITE 300, LIVINGSTON, NJ 07039-5804
(973) 821-8107
Mailing address
220 S ORANGE AVE, SUITE 300, LIVINGSTON, NJ 07039-5804
(973) 821-8107
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438324
—
NJ
Enumeration date
03/01/2017
Last updated
02/28/2019
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