Provider Demographics
NPI:1235676032
Name:NEW JERSEY CAMP JAYCEE
Entity Type:Organization
Organization Name:NEW JERSEY CAMP JAYCEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT REPRESENTATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BAFFUTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-246-2525
Mailing Address - Street 1:985 LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1843
Mailing Address - Country:US
Mailing Address - Phone:732-246-2525
Mailing Address - Fax:732-784-6413
Practice Address - Street 1:223 ZIEGLER RD
Practice Address - Street 2:
Practice Address - City:EFFORT
Practice Address - State:PA
Practice Address - Zip Code:18330-8193
Practice Address - Country:US
Practice Address - Phone:732-246-2525
Practice Address - Fax:732-214-1834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services