1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Residential Treatment Facility Emotionally Disturbed Children
  6. NPI Profile

ST. TIMOTHY'S GROUP HOME FOR BOYS
NPI 1689883498
Residential Treatment Facility, Emotionally Disturbed Children in Newark, NJ

Active since May 21, 2007
25 JAMES ST, NEWARK, NJ 07102(973) 621-2273(973) 621-7259 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About St. Timothy's Group Home For Boys NPPES

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

ST. TIMOTHY'S GROUP HOME FOR BOYS (NPI 1689883498) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Newark, New Jersey and active in the NPI registry since May 2007. The organization lists Judy D. Bennett, Deputy Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689883498
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameST. TIMOTHY'S GROUP HOME FOR BOYS
Location Address25 JAMES STNewark, NJ 07102-2001
Mailing Address399 Heywood AveOrange, NJ 07050-2006 · (973) 673-4562 · Fax (973) 673-3238
Phone(973) 621-2273
Fax(973) 621-7259
Organization SubpartNo
Authorized OfficialJudy D. BennettDeputy Executive Director · (973) 621-2273
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689883498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
25 JAMES ST, Newark, NJ 07102
Open in Google Maps ↗

Other Identifiers 1

Medicaid8488509NJ

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 St. Timothy's Group Home For Boys's NPI number?

The NPI number for St. Timothy's Group Home For Boys is 1689883498. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is St. Timothy's Group Home For Boys located?

St. Timothy's Group Home For Boys is located at 25 James St, Newark, NJ 07102. The listed phone number is (973) 621-2273.

What is St. Timothy's Group Home For Boys's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for St. Timothy's Group Home For Boys was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.