MEDICARE: CENTER FOR ENHANCING ABILITIES II

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	344600000X	Taxi
2	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1700231222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR ENHANCING ABILITIES II

Provider Business Mailing Address
First Line	:	100 E HANOVER AVE STE 103
Second Line	:
City	:	CEDAR KNOLLS
State	:	NJ
Zip	:	07927-2047
Country	:	US
Telephone Number	:	973-998-6242
Fax Number	:	973-998-6260

Provider Business Practice Location Address
First Line	:	56 RIDGEWOOD RD
Second Line	:
City	:	TOWNSHIP OF WASHINGTON
State	:	NJ
Zip	:	07676-5122
Country	:	US
Telephone Number	:	201-497-5907
Fax Number	:	201-497-5908

Authorized Official
Title or Position	:	CEO
Name	:	NEETA DAS
Credential	:	LCSW
Telephone Number	:	973-998-6242

Provider Enumeration Date	:	05/03/2016
Last Update Date	:	05/03/2016

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