Provider Demographics
NPI:1700260122
Name:GOODWILL INDUSTRIES OF GREATER NY & NORTHERN NJ, INC
Entity Type:Organization
Organization Name:GOODWILL INDUSTRIES OF GREATER NY & NORTHERN NJ, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT OF MISSIONS
Authorized Official - Prefix:
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-378-8267
Mailing Address - Street 1:982 BROAD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-2503
Mailing Address - Country:US
Mailing Address - Phone:973-481-3200
Mailing Address - Fax:973-481-2781
Practice Address - Street 1:982 BROAD ST FL 2
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-2503
Practice Address - Country:US
Practice Address - Phone:973-481-2300
Practice Address - Fax:973-481-2781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services