MEDICARE: ABILITIES OF NORTHWEST JERSEY, 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	:	1447639927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITIES OF NORTHWEST JERSEY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 251
Second Line	:
City	:	WASHINGTON
State	:	NJ
Zip	:	07882-0251
Country	:	US
Telephone Number	:	908-689-1118
Fax Number	:	908-689-6363

Provider Business Practice Location Address
First Line	:	150 BOULEVARD STE 1
Second Line	:
City	:	WASHINGTON
State	:	NJ
Zip	:	07882-1760
Country	:	US
Telephone Number	:	908-689-7460
Fax Number	:	908-689-7435

Authorized Official
Title or Position	:	CEO
Name	:	CYNTHIA B WILDERMUTH
Credential	:
Telephone Number	:	908-689-1118

Provider Enumeration Date	:	05/29/2015
Last Update Date	:	02/29/2024

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