Good Shepherd Ddd Services LLC
Clinic/Center, Developmental Disabilities in Lyndhurst, New Jersey
1568148179- Practice location
- 725 Valley Brook Ave, Lyndhurst, NJ 07071-2030
- Phone
- 201-933-0711
- Fax
- 201-933-0611
- Last updated
- June 27, 2023
Good Shepherd Ddd Services LLC is a healthcare organization based in Lyndhurst, NJ. Good Shepherd Ddd Services LLC practices in Lyndhurst, NJ. The NPI Number for Good Shepherd Ddd Services LLC is 1568148179. The current practice location address for Good Shepherd Ddd Services LLC is 725 Valley Brook Ave, Lyndhurst, NJ 07071-2030 and can be reached out via phone at 201-933-0711 and via fax at 201-933-0611.
Provider Profile Details
- NPI Number
- 1568148179
- Provider Name
- Good Shepherd Ddd Services LLC
- Provider Entity Type
- Organization
- Address
- 725 Valley Brook Ave, Lyndhurst, NJ 07071-2030
- Phone Number
- 201-933-0711
- Fax Number
- 201-933-0611
- Primary Taxonomy
- Clinic/Center, Developmental Disabilities · 261QD1600X
- Organization Subpart
- No
- Authorized Official
- Ragae W. Wassef · Manager/Member · 973-930-5687
- Provider Enumeration Date
- June 27, 2023
- Last Update Date
- June 27, 2023
- Certification Date
- June 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 725 Valley Brook Ave
Lyndhurst, NJ 07071-2030 - City
- Lyndhurst
- State
- New Jersey
- Zip
- 07071-2030
- Phone Number
- 201-933-0711
- Fax Number
- 201-933-0611
Provider Business Mailing Address Details
- Address
- 725 Valley Brook Ave
Lyndhurst, NJ 07071-2030 - City
- Lyndhurst
- State
- NJ
- Zip
- 07071-2030
- Phone Number
- 201-933-0711
- Fax Number
- 201-933-0611
License Information
- Taxonomy
- Clinic/Center, Developmental Disabilities · 261QD1600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Good Shepherd Ddd Services LLC?
The NPI number of Good Shepherd Ddd Services LLC is 1568148179. It was assigned on June 27, 2023 and is currently active in the NPPES registry.
What is the specialty of Good Shepherd Ddd Services LLC?
Good Shepherd Ddd Services LLC is registered under the primary taxonomy Clinic/Center, Developmental Disabilities (code 261QD1600X).
Where does Good Shepherd Ddd Services LLC practice?
The practice location is 725 Valley Brook Ave, Lyndhurst, NJ 07071-2030. The office can be reached at 201-933-0711 (phone) or 201-933-0611 (fax).
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 1568148179 directly on the NPPES registry website.