Provider Demographics
NPI:1235602194
Name:DAYTOP VILLAGE OF NEW JERSEY, INC.
Entity Type:Organization
Organization Name:DAYTOP VILLAGE OF NEW JERSEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SOSELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-260-9460
Mailing Address - Street 1:80 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-1257
Mailing Address - Country:US
Mailing Address - Phone:862-260-9460
Mailing Address - Fax:862-260-9461
Practice Address - Street 1:399 N MAIN ST UNIT 1
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3069
Practice Address - Country:US
Practice Address - Phone:732-875-1090
Practice Address - Fax:732-875-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)