Active NPI
Nexgen Biologics LLC
- Behavior Analyst
- Tenafly, NJ
National Provider Identifier
1013418300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- NEXGEN BIOLOGICS LLC
- Practice address
- 164 Engle St
Tenafly, NJ 07670-2756 - Phone
- (201) 403-5673
- NPI assigned
- Feb 22, 2018
- 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
- Brandon M Kotlyarsky
- Title
- Owner
- Phone
- (201) 403-5673
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
164 Engle St
Tenafly, NJ 07670-2756
Mailing address
164 Engle St
Tenafly, NJ 07670-2756
Phone (201) 403-5673
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Jersey City, NJ
- NPI 1811542988
-
- Behavior Analyst
- Westwood, NJ
- NPI 1164196895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559520000000",
"number": "1013418300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 ENGLE ST",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702756",
"telephone_number": "201-403-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 ENGLE ST",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702756",
"telephone_number": "201-403-5673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXGEN BIOLOGICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-22",
"last_updated": "2019-06-03",
"status": "A",
"authorized_official_last_name": "KOTLYARSKY",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-403-5673"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tenafly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.