1. Home
  2. Directory
  3. New Jersey
  4. North Brunswick
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

DUNGARVIN NEW JERSEY, LLC-ANTONIO
NPI 1558717306
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Brunswick, NJ

Active since May 11, 2016
1066 ANTONIO DR, NORTH BRUNSWICK, NJ 08902(732) 565-0016 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2018, May 11, 2016 (2 updates tracked since 2016).

About Dungarvin New Jersey, Llc-antonio NPPES

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

DUNGARVIN NEW JERSEY, LLC-ANTONIO (NPI 1558717306) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in North Brunswick, New Jersey and active in the NPI registry since May 2016. The organization lists Lori Kress, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558717306
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDUNGARVIN NEW JERSEY, LLC-ANTONIO
Location Address1066 ANTONIO DRNorth Brunswick, NJ 08902
Mailing Address1543 State Route 27, Suite 24Somerset, NJ 08873-4015 · (732) 463-7227
Phone(732) 565-0016
Organization SubpartYesParent: Dungarvin Group, Inc.
Authorized OfficialLori KressCeo · (651) 699-0206
Enumeration DateMay 11, 2016
Last NPPES UpdateApril 27, 20232 updates tracked since enumeration
NPPES CertifiedApril 27, 2023
✔ NPI 1558717306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1066 ANTONIO DR, North Brunswick, NJ 08902
Open in Google Maps ↗

Other Identifiers 1

Medicaid0494275NJ

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 Dungarvin New Jersey, Llc-Antonio's NPI number?

The NPI number for Dungarvin New Jersey, Llc-Antonio is 1558717306. It was assigned to this organization in the NPPES registry on May 11, 2016.

Where is Dungarvin New Jersey, Llc-Antonio located?

Dungarvin New Jersey, Llc-Antonio is located at 1066 Antonio Dr, North Brunswick, NJ 08902. The listed phone number is (732) 565-0016.

What is Dungarvin New Jersey, Llc-Antonio's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Dungarvin New Jersey, Llc-Antonio was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.