Healthcare Provider Details

I. General information

NPI: 1215642327
Provider Name (Legal Business Name): OPEN REACH ASSOCIATES IN MENTAL HEALTH & DISABILITIES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TOWER CENTER BLVD STE 1510
EAST BRUNSWICK NJ
08816-1148
US

IV. Provider business mailing address

592 LIGHTHOUSE LN
PERTH AMBOY NJ
08861-5222
US

V. Phone/Fax

Practice location:
  • Phone: 732-433-2319
  • Fax:
Mailing address:
  • Phone: 732-433-2319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. MONIQUE NEMBHARD
Title or Position: CEO
Credential:
Phone: 732-433-2319