Healthcare Provider Details
I. General information
NPI: 1710857545
Provider Name (Legal Business Name): ABUNDANT HOPE DEVELOPMENTAL SUPPORTS NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/06/2025
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
65 MCWHORTER ST FL 1
NEWARK NJ
07105-1412
US
IV. Provider business mailing address
65 MCWHORTER ST FL 1
NEWARK NJ
07105-1412
US
V. Phone/Fax
- Phone: 718-501-7376
- Fax:
- Phone: 718-501-7376
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YUDAH
JUNGER
Title or Position: OWNER
Credential:
Phone: 718-501-7376