OrganizationActive
Divine Development Disability LLC
NPI 1558066399 · Developmental Disabilities Clinic/Center · Scotch Plains, NJ
Provider details
- NPI number
- 1558066399
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rajasshri Phadnaik, Member(732) 789-6683
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
15 Clydesdale Rd
Scotch Plains, NJ 07076-2409
Phone: (732) 789-6683
Approximate (ZIP-level) locationGet directions
Mailing address
15 Clydesdale Rd
Scotch Plains, NJ 07076-2409
Registry dates
- Enumerated
- 2023-04-03
- Last updated
- 2023-04-03
- Certified
- 2023-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.