Healthcare Provider Details

I. General information

NPI: 1467977165
Provider Name (Legal Business Name): COMPUTER ENABLING PROGRAM FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 BUCHANAN CT
PARAMUS NJ
07652-1702
US

IV. Provider business mailing address

767 BUCHANAN CT
PARAMUS NJ
07652-1702
US

V. Phone/Fax

Practice location:
  • Phone: 201-447-6763
  • Fax:
Mailing address:
  • Phone: 201-447-6763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. BOWLEY MOORE
Title or Position: CHAIRMAN
Credential:
Phone: 201-447-6763