| Cerebral Palsy Of North Jersey | |
|
220 S Orange Ave Suite 300 Livingston NJ 07039-5804 | |
| (973) 763-9900 | |
| (973) 488-6223 |
| Full Name | Cerebral Palsy Of North Jersey |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 S Orange Ave, Livingston, New Jersey |
| Authorized Official Name and Position | Allison Tyler (ICAN PROGRAM DIRECTOR) |
| Authorized Official Contact | 9737639900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerebral Palsy Of North Jersey 220 S Orange Ave Suite 300 Livingston NJ 07039-5804 Ph: (973) 763-9900 | Cerebral Palsy Of North Jersey 220 S Orange Ave Suite 300 Livingston NJ 07039-5804 Ph: (973) 763-9900 |
| NPI Number | 1578968673 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578968673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 40QA01001600 (New Jersey) | Primary |
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