OrganizationActive
Intake, LLC
NPI 1629490586 · Supports Brokerage Agency · Edgewater, NJ
Intake, LLC is a Supports Brokerage Agency organization in Edgewater, NJ (NPI 1629490586).
Provider details
- NPI number
- 1629490586
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kourosh Moradmand, Senior Director(937) 422-6038
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 River Rd
Suite 201
Edgewater, NJ 07020-1034
Phone: (201) 366-4155
Street-level locationGet directions
Mailing address
115 River Rd
Edgewater, NJ 07020-1034
Registry dates
- Enumerated
- 2014-01-13
- Last updated
- 2015-04-01
Frequently asked questions
- What is Intake, LLC's NPI number?
- Intake, LLC's National Provider Identifier (NPI) is 1629490586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intake, LLC?
- Intake, LLC is classified in the NPPES registry as Supports Brokerage Agency (Agencies).
- Where is Intake, LLC located?
- Intake, LLC's practice location on file with NPPES is 115 River Rd, Edgewater, NJ 07020-1034.
- What is Intake, LLC's phone number?
- The practice phone number listed in the NPPES registry for Intake, LLC is (201) 366-4155.
- Who is the authorized official for Intake, LLC?
- The authorized official listed on Intake, LLC's NPPES record is Kourosh Moradmand, Senior Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intake, LLC's NPI active?
- Yes — Intake, LLC's NPI (1629490586) is active in the NPPES registry as of the last update on 2015-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.