Provider Demographics
NPI:1366821845
Name:ABILITIES OF NORTHWEST JERSEY, INC.
Entity Type:Organization
Organization Name:ABILITIES OF NORTHWEST JERSEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:WILDERMUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-689-1118
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-0251
Mailing Address - Country:US
Mailing Address - Phone:908-689-1118
Mailing Address - Fax:908-689-6363
Practice Address - Street 1:56 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-1913
Practice Address - Country:US
Practice Address - Phone:908-689-0612
Practice Address - Fax:908-689-0614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services