WOODBINE DEVELOPMENTAL CENTER
NPI 1982642641
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Woodbine, NJ

Q: 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.

Active since June 03, 2006CLIA 31D2194546 · Waiver

1175 DEHIRSCH AVE, WOODBINE, NJ 08270(609) 861-2164(609) 861-5176 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Woodbine Developmental Center NPPES

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

WOODBINE DEVELOPMENTAL CENTER (NPI 1982642641) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Woodbine, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Robert J Armstrong, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982642641

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameSTATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

Location Address1175 DEHIRSCH AVEWoodbine, NJ 08270-2401

Mailing Address1175 Dehirsch AveWoodbine, NJ 08270-2401 · (609) 861-2164 · Fax (609) 861-5176

Phone(609) 861-2164

Fax(609) 861-5176

Organization SubpartNo

Authorized OfficialRobert J ArmstrongCeo · (609) 861-6041

Enumeration DateJune 3, 2006

Last NPPES UpdateJanuary 9, 2017

✔ NPI 1982642641 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

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.

1175 DEHIRSCH AVE, Woodbine, NJ 08270

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Other Names 1

Doing Business AsWoodbine Developmental Center

Other Identifiers 3

Medicaid4472004NJ

Other528582NJ · Provider Group

Medicare OSCAR/certification314095NJ

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 31D2194546

Woodbine Developmental Center · Woodbine, NJ

Active · expires Sep 30, 2026

CLIA Number31D2194546

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateOctober 1, 2024

Certificate Expiration DateSeptember 30, 2026

Laboratory DirectorMichael Kelly

Laboratory Phone(609) 861-6024

Laboratory LocationWoodbine Developmental Center1175 Dehirsch Ave, Woodbine, NJ 08270

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHELSEA M FARROW APN

Nurse Practitioner (Family)