MEDICARE: THE ARC OF NEW JERSEY

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	:	1730568254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC OF NEW JERSEY

Provider Business Mailing Address
First Line	:	985 LIVINGSTON AVE
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1843
Country	:	US
Telephone Number	:	732-246-2525
Fax Number	:	732-784-6413

Provider Business Practice Location Address
First Line	:	985 LIVINGSTON AVE
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1843
Country	:	US
Telephone Number	:	732-246-2525
Fax Number	:	732-784-6413

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	THOMAS BAFFUTO
Credential	:
Telephone Number	:	732-246-2525

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

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Directions to “THE ARC OF NEW JERSEY ” Practice Location

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