NEW JERSEY COMMUNITY DEVELOPMENT CORPORATION
NPI 1144784042
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hawthorne, NJ

Active since January 24, 2019
35 MCKINLEY AVE APT 2H, HAWTHORNE, NJ 07506(973) 413-1600 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 3, 2023, Jan 24, 2019 (2 updates tracked since 2019).

  • Organization
  • Community Based Residential Treatment Fa...

About NEW JERSEY COMMUNITY DEVELOPMENT CORPORATION

This page provides the complete NPI Profile along with additional information for New Jersey Community Development Corporation, a provider established in Hawthorne, 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 1144784042 assigned on January 2019. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Robert Collins (Authorized Official)

NPI
1144784042 Verify this NPI
Provider Name
NEW JERSEY COMMUNITY DEVELOPMENT CORPORATION
Entity Type
Organization
Location Address
35 MCKINLEY AVE APT 2H HAWTHORNE, NJ 07506
Location Phone
(973) 413-1600
Mailing Address
PO BOX 6976 PATERSON, NJ 07509
Mailing Phone
(973) 413-1600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2019
Last Update Date
05-03-2023
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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
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

ROBERT COLLINS

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(973) 413-1609

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144784042, enumerated as an "organization" on January 24, 2019.

The provider is located at 35 MCKINLEY AVE APT 2H HAWTHORNE, NJ 07506 and the phone number is (973) 413-1600.

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