NJ MENTOR
NPI 1386152825
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brick, NJ

Active since January 18, 2018

NPPES record last updated: March 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2023, Jan 18, 2018 (2 updates tracked since 2018).

  • Organization
  • Community Based Residential Treatment Fa...

About NJ MENTOR

This page provides the complete NPI Profile along with additional information for Nj Mentor, a provider established in Brick, 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 1386152825 assigned on January 2018. 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 Brett Ian Cohen (Coo)

NPI
1386152825 Verify this NPI
Provider Name
NJ MENTOR
Entity Type
Organization
Location Address
988 SIDS CT BRICK, NJ 08724
Location Phone
(732) 627-9890
Mailing Address
80 COTTONTAIL LN STE 330 SOMERSET, NJ 08873
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2018
Last Update Date
03-12-2023
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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

BRETT IAN COHEN

Authorized Official Title
COO
Authorized Official Phone
(800) 388-5150

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Home Health
988 SIDS CT
BRICK, NJ 08724

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386152825, enumerated as an "organization" on January 18, 2018.

The provider is located at 988 SIDS CT BRICK, NJ 08724 and the phone number is (732) 627-9890.

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