NPI Code Details Logo

NPI 1407722820

NPI 1407722820 : REM NEW JERSEY, INC. : OCEAN VIEW, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407722820
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    REM NEW JERSEY, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/13/2025
-----------------------------------------------------
    Last Update Date     |    10/13/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8 FOXBOROUGH RD 
-----------------------------------------------------
    City                 |    OCEAN VIEW
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08230-1308
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-627-9890
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6600 FRANCE AVE S STE 350 
-----------------------------------------------------
    City                 |    EDINA
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55435-1810
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-388-5150
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP & SR ASST GENERAL COUNSEL
-----------------------------------------------------
    Name                 |     MARY PATRICIA RODENBERG-ROBERTS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    952-836-2234
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    320900000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.