Active NPIOrganization

Our Special Place, INC.

Community/Behavioral Health in Matawan, New Jersey

NPI Number1154788057
Practice location
62 Broad St, Matawan, NJ 07747-2534
Fax
—
Last updated
January 22, 2016

Our Special Place, INC. is a healthcare organization based in Matawan, NJ. Our Special Place, INC. practices in Matawan, NJ. The NPI Number for Our Special Place, INC. is 1154788057 and holds a License No. 0100983768 (NJ). The current practice location address for Our Special Place, INC. is 62 Broad St, Matawan, NJ 07747-2534 and can be reached out via phone at 732-765-8500.

Provider Profile Details

NPI Number
1154788057
Provider Name
Our Special Place, INC.
Provider Entity Type
Organization
Address
62 Broad St, Matawan, NJ 07747-2534
Phone Number
732-765-8500
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Mrs. Dawn Fittipaldi, MS BCBA · Educational Director/Vice President · 732-765-8500
Provider Enumeration Date
January 22, 2016
Last Update Date
January 22, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Broad St
Matawan, NJ 07747-2534
Zip
07747-2534
Phone Number
732-765-8500
Matawan, NJ 07747Get directions →

Provider Business Mailing Address Details

Address
62 Broad St
Matawan, NJ 07747-2534
City
Matawan
State
NJ
Zip
07747-2534
Phone Number
732-765-8500

License Information

License Number
0100983768
License State
NJ
Taxonomy
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Our Special Place, INC.?

The NPI number of Our Special Place, INC. is 1154788057. It was assigned on January 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Our Special Place, INC.?

Our Special Place, INC. is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in NJ under license number 0100983768.

Where does Our Special Place, INC. practice?

The practice location is 62 Broad St, Matawan, NJ 07747-2534. The office can be reached at 732-765-8500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154788057 directly on the NPPES registry website.

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