NEW JERSEY MENTOR
NPI 1710367768
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Egg Harbor Twp, NJ

NPI Status: Active since June 04, 2015

Contact Information

207 SYCAMORE AVE
EGG HARBOR TWP, NJ
ZIP 08234
Phone: (732) 627-9890

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About NEW JERSEY MENTOR

This page provides the complete NPI Profile along with additional information for New Jersey Mentor, a provider established in Egg Harbor Twp, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1710367768 assigned on June 2015. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as New Jersey Mentor. The authorized official of this NPI record is Brett Ian Cohen (Coo)

NPI
1710367768
Provider Legal Name
NATIONAL MENTOR HEALTHCARE, LLC
Other Organization Name
NEW JERSEY MENTOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
207 SYCAMORE AVE EGG HARBOR TWP, NJ 08234
Location Phone
(732) 627-9890
Mailing Address
80 COTTONTAIL LN SUITE 330 SOMERSET, NJ 08873
Mailing Phone
(732) 627-9890
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2015
Last Update Date
03-19-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

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

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRETT IAN COHEN

Authorized Official Title
COO
Authorized Official Phone
(800) 388-5150

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710367768
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27206614712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 1 + 4 + 7 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1710367768 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710367768, enumerated in the NPI registry as an "organization" on June 04, 2015

The provider is located at 207 Sycamore Ave Egg Harbor Twp, Nj 08234 and the phone number is (732) 627-9890

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

This NPI record was last updated on June 04, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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