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ELWYN NEW JERSEY
NPI 1053835306
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Williamstown, NJ

Active since July 28, 2017
2 OAK LN, WILLIAMSTOWN, NJ 08094(609) 704-0138 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2022, Feb 2, 2022, Apr 6, 2020 and 1 more (4 updates tracked since 2017).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Community Based Residential Treatment Fa...

About ELWYN NEW JERSEY

This page provides the complete NPI Profile along with additional information for Elwyn New Jersey, a provider established in Williamstown, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1053835306 assigned on July 2017. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. William Hartley (Executive Director)

NPI
1053835306 Verify this NPI
Provider Name
ELWYN NEW JERSEY
Entity Type
Organization
Location Address
2 OAK LN WILLIAMSTOWN, NJ 08094
Location Phone
(609) 704-0138
Mailing Address
228 W LANDIS AVE BLDG C VINELAND, NJ 08360
Mailing Phone
(856) 794-5300
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-28-2017
Last Update Date
08-15-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License State
NJ
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM HARTLEY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(856) 794-5300

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Frequently Asked Questions

What is ELWYN NEW JERSEY's NPI number?

The NPI number assigned to this healthcare provider is 1053835306, enumerated as an "organization" on July 28, 2017.

Where is the provider located?

The provider is located at 2 OAK LN WILLIAMSTOWN, NJ 08094 and the phone number is (609) 704-0138.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.