Provider Demographics
NPI:1174036396
Name:NATIONAL INSTITUTE FOR PEOPLE WITH DISABILITIES OF NEW JERSEY
Entity Type:Organization
Organization Name:NATIONAL INSTITUTE FOR PEOPLE WITH DISABILITIES OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:COLOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-750-0509
Mailing Address - Street 1:PO BOX 301
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-0301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:KNOLL DRIVE
Practice Address - Street 2:
Practice Address - City:LAKE HIAWATHA,
Practice Address - State:NJ
Practice Address - Zip Code:07034
Practice Address - Country:US
Practice Address - Phone:201-750-0509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services