MEDICARE: FRIENDS OF CYRUS II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
2	320700000X	Physical Disabilities Residential Treatment Facility
3	320800000X	Mental Illness Community Based Residential Treatment Facility
4	323P00000X	Psychiatric Residential Treatment Facility
5	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1427528199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDS OF CYRUS II

Provider Business Mailing Address
First Line	:	15 CORPORATE PL S STE 333
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-6108
Country	:	US
Telephone Number	:	201-213-1935
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 TUCKERTON RD
Second Line	:
City	:	MEDFORD
State	:	NJ
Zip	:	08055-8858
Country	:	US
Telephone Number	:	201-213-1935
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NAREN SINGHANI
Credential	:	MBA
Telephone Number	:	201-213-1935

Provider Enumeration Date	:	11/26/2018
Last Update Date	:	11/26/2018

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Directions to “FRIENDS OF CYRUS II ” Practice Location

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