Active NPI
Tenafly Therapy Group
- Speech-Language Pathologist
- Cresskill, NJ
National Provider Identifier
1003327032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- TENAFLY THERAPY GROUP
- Practice address
- 300 Knickerbocker Rd
Cresskill, NJ 07626-1350 - Phone
- (201) 580-5085
- NPI assigned
- Oct 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yael Omer
- Title
- Owner
- Phone
- (201) 788-0445
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
300 Knickerbocker Rd
Cresskill, NJ 07626-1350
Mailing address
300 Knickerbocker Rd
Cresskill, NJ 07626-1350
Phone (201) 580-5085
National Provider Directory
National Provider DirectoryLocations
300 Knickerbocker Rd
Cresskill, NJ 07626
Phone (201) 399-7078
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Early Intervention Provider Agency
- Hoboken, NJ
- NPI 1144758657
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508198400000",
"number": "1003327032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 KNICKERBOCKER RD",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "076261350",
"telephone_number": "201-580-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 KNICKERBOCKER RD",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "076261350",
"telephone_number": "201-580-5085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENAFLY THERAPY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A",
"authorized_official_last_name": "OMER",
"authorized_official_first_name": "YAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-788-0445"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cresskill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.