NEW LISBON DEVELOPMENTAL CENTER
NPI 1255375929
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in New Lisbon, NJ

Active since June 15, 2006CLIA 31D0653054 · Waiver
RTE 72 EAST, NEW LISBON, NJ 08064(609) 894-4001(609) 726-1293 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About New Lisbon Developmental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW LISBON DEVELOPMENTAL CENTER (NPI 1255375929) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in New Lisbon, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 13, 2028 and lists Janene M Hawk, Assistant Business Manager, as its authorized official.

NPPES Registry Identity

NPI1255375929
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSTATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Location AddressRTE 72 EASTNew Lisbon, NJ 08064-0130
Mailing AddressHwy 72 EastNew Lisbon, NJ 08064-0130 · (609) 894-4001 · Fax (609) 726-1293
Fax(609) 726-1293
Organization SubpartNo
Authorized OfficialJanene M HawkAssistant Business Manager · (609) 894-4001
Enumeration DateJune 15, 2006
Last NPPES UpdateOctober 4, 2011
✔ NPI 1255375929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NJ · 4467001
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
RTE 72 EAST, New Lisbon, NJ 08064

Other Names 1

Other NameNew Lisbon Developmental Center

Other Identifiers 2

Other528585NJ · Medicare Billing Group
Medicare OSCAR/certification314092NJ

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Lisbon Developmental Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to New Lisbon Developmental Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Internal Medicine
NPI 1659460509
RT. 72 EAST NEW LISBON DEVELOPMENTAL CENTER
New Lisbon, NJ 08064
(609) 726-1000
✔ PECOS✔ Accepts Medicare5.2 mi
Family Practice
NPI 1497829469
104 ROUTE 72 EAST
New Lisbon, NJ 08064
(609) 726-1000
✔ PECOS5.3 mi
Pediatric Medicine
NPI 1366487746
99 ROUTE 37 W
Toms River, NJ 08755
(732) 557-8000
✔ PECOS22 mi
Nurse Practitioner
NPI 1023390390
120 WHITE HORSE PIKE SUITE 103
Haddon Heights, NJ 08035
(856) 546-3900
✔ PECOS✔ Accepts Medicare23 mi
Psychiatry
NPI 1275622656
6722 BUSTLETON AVE
Philadelphia, PA 19149
(215) 708-1645
✔ PECOS✔ Accepts Medicare24 mi
Internal Medicine
NPI 1356378517
WOODBRIDGE DEVELOPMENTAL CENTER RAHWAY AVENUE
Woodbridge, NJ 07095
(732) 499-5951
✔ PECOS✔ Accepts Medicare47 mi
Psychiatry
NPI 1588693642
108 ALDEN ST
Cranford, NJ 07016
(908) 497-3968
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1164907903
8 E GRAND AVE
Montvale, NJ 07645
(201) 775-1153
✔ PECOS✔ Accepts Medicare81 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0653054

New Lisbon Developmental Center · New Lisbon, NJ
Active · expires Aug 13, 2028
CLIA Number31D0653054
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 14, 2026
Certificate Expiration DateAugust 13, 2028
Laboratory DirectorSangeeta Buddala
Laboratory Phone(609) 726-1000
Laboratory LocationNew Lisbon Developmental Center130 Highway 72, New Lisbon, NJ 08064
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of New Jersey Omb Centralized Payroll's NPI number?

The NPI number for State Of New Jersey Omb Centralized Payroll is 1255375929. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is also known as New Lisbon Developmental Center.

Where is State Of New Jersey Omb Centralized Payroll located?

State Of New Jersey Omb Centralized Payroll is located at Rte 72 East, New Lisbon, NJ 08064. The listed phone number is (609) 894-4001.

What is State Of New Jersey Omb Centralized Payroll's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Is State Of New Jersey Omb Centralized Payroll enrolled in Medicare?

Yes. State Of New Jersey Omb Centralized Payroll is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through State Of New Jersey Omb Centralized Payroll?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians reassign their Medicare billing to State Of New Jersey Omb Centralized Payroll, in Family Practice, Internal Medicine, Nurse Practitioner, Pediatric Medicine and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does State Of New Jersey Omb Centralized Payroll hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0653054) is associated with this NPI, valid through August 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for State Of New Jersey Omb Centralized Payroll was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.