Healthcare Provider Details

I. General information

NPI: 1619772548
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: 02/14/2025
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: 848-338-1047
  • Fax:
Mailing address:
  • Phone: 832-933-5410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

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