Easter Seals New Jersey
Community Based Residential Treatment Facility, Mental Illness in West Orange, New Jersey
1649496993- Practice location
- 121 Main St, West Orange, NJ 07052-5673
- Phone
- 732-257-6662
- Fax
- 732-257-7373
- Last updated
- August 21, 2025
Easter Seals New Jersey is a healthcare organization based in West Orange, NJ. Easter Seals New Jersey practices in West Orange, NJ. The NPI Number for Easter Seals New Jersey is 1649496993 and holds a License No. Monmouth CM (NJ). The current practice location address for Easter Seals New Jersey is 121 Main St, West Orange, NJ 07052-5673 and can be reached out via phone at 732-257-6662 and via fax at 732-257-7373.
Provider Profile Details
- NPI Number
- 1649496993
- Provider Name
- Easter Seals New Jersey
- Provider Entity Type
- Organization
- Address
- 121 Main St, West Orange, NJ 07052-5673
- Phone Number
- 732-257-6662
- Fax Number
- 732-257-7373
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Omar Soberal · Vp Of Revenue · 732-955-8373
- Provider Enumeration Date
- April 17, 2007
- Last Update Date
- August 21, 2025
- Certification Date
- August 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 121 Main St
West Orange, NJ 07052-5673 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-5673
- Phone Number
- 732-257-6662
- Fax Number
- 732-257-7373
Provider Business Mailing Address Details
- Address
- 241 Forsgate Drive
Jamesburg, NJ 08831 - City
- Jamesburg
- State
- NJ
- Zip
- 08831
- Phone Number
- 732-257-6662
- Fax Number
- 732-257-7373
License Information
- Taxonomy (1)
- Case Management · 251B00000X
- Taxonomy (2)
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- License Number (3)
- Monmouth CM
- License State (3)
- NJ
- Taxonomy (3)
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community Based Residential Treatment Facility, Mental Illness providers near West Orange, NJ
View all Community Based Residential Treatment Facility, Mental Illness providers in West Orange →Frequently Asked Questions
What is the NPI number of Easter Seals New Jersey?
The NPI number of Easter Seals New Jersey is 1649496993. It was assigned on April 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Easter Seals New Jersey?
Easter Seals New Jersey is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X), licensed in NJ under license number Monmouth CM.
Where does Easter Seals New Jersey practice?
The practice location is 121 Main St, West Orange, NJ 07052-5673. The office can be reached at 732-257-6662 (phone) or 732-257-7373 (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 1649496993 directly on the NPPES registry website.