Healthcare Provider Details

I. General information

NPI: 1467993964
Provider Name (Legal Business Name): NATIONAL INSTITUTE FOR PEOPLE WITH DISABILITIES OF NJ, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 W 34TH ST 11TH FLOOR
NEW YORK NY
10001-2320
US

IV. Provider business mailing address

460 W 34TH ST 11TH FLOOR
NEW YORK NY
10001-2320
US

V. Phone/Fax

Practice location:
  • Phone: 212-273-6206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: RALPH COLOMA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 845-358-5700