MEDICARE: JESPY HOUSE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1013398643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESPY HOUSE INC.

Provider Business Mailing Address
First Line	:	102 PROSPECT ST
Second Line	:
City	:	SOUTH ORANGE
State	:	NJ
Zip	:	07079-2112
Country	:	US
Telephone Number	:	973-762-6909
Fax Number	:	973-762-5610

Provider Business Practice Location Address
First Line	:	102 CONNETT PL
Second Line	:
City	:	SOUTH ORANGE
State	:	NJ
Zip	:	07079-2317
Country	:	US
Telephone Number	:	973-762-0811
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	AUDREY WINKLER
Credential	:
Telephone Number	:	973-762-6909

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	06/03/2026

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Directions to “JESPY HOUSE INC. ” Practice Location

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