Provider Demographics
NPI:1477139855
Name:CEREBRAL PALSY OF NORTH JERSEY, INC.
Entity Type:Organization
Organization Name:CEREBRAL PALSY OF NORTH JERSEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HASHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-821-8107
Mailing Address - Street 1:220 S ORANGE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5800
Mailing Address - Country:US
Mailing Address - Phone:973-763-9900
Mailing Address - Fax:
Practice Address - Street 1:2 INDEPENDENCE WAY APT 202
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1102
Practice Address - Country:US
Practice Address - Phone:973-763-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care