Organization · Type 2 NPI

Albert Einstein Medical Center

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Woodbury, NJ

NPI number 1144619263 Active

Practice location

135 S Broad St
Woodbury, NJ 08096-2441

Call (856) 853-9900 Map

Mailing address

5501 Old York Rd
Philadelphia, PA 19141-3018

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	TB1078 (NJ)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1144619263
Entity type: Organization (Type 2)
Issued: Jan 13, 2015
Last updated: Jan 13, 2015
Status: Active
Subpart: Yes of Albert Einstein Medical Center

Other names

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Moss Rehab - Drucker Brain Injury Center (woodbury, Nj) · doing business as

Authorized official

Mr. Walter G Wyatt
Assoc VP-Finance
(215) 254-3254

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144619263

Albert Einstein Medical Center's National Provider Identifier is 1144619263, issued on Jan 13, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Woodbury, NJ. The record was last updated on Jan 13, 2015.