Provider Demographics
NPI:1750851267
Name:GAINFULLY EMPLOYED
Entity Type:Organization
Organization Name:GAINFULLY EMPLOYED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEV
Authorized Official - Middle Name:
Authorized Official - Last Name:ERDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-931-2217
Mailing Address - Street 1:26 ELIZABETH RD
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-2622
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22 LACKAWANNA PLZ
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3619
Practice Address - Country:US
Practice Address - Phone:973-783-7891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services