STP Up-4 Developmental Disabilities

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

QUALIFIED PROVIDER Issued in NJ

Legal business name

STP UP-4 DEVELOPMENTAL DISABILITIES

Practice address

9060 Palisade Ave
Suite003
North Bergen, NJ 07047-6137

Phone

(201) 647-0407

NPI assigned

May 31, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leonor Javier, BS-SOCIAL WORK

Title

Ceo

Phone

(201) 647-0407

Specialties & licenses 2

Addresses

Other names 1

• Bergen-Hudson Lerning Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1023455045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 HUDSON TER",
            "address_2": "SIUTTE B5-A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247930",
            "telephone_number": "201-647-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 PALISADE AVE",
            "address_2": "SUITE003",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476137",
            "telephone_number": "201-647-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STP UP-4 DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "JAVIER",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-647-0407",
        "authorized_official_credential": "BS-SOCIAL WORK"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": "QUALIFIED PROVIDER",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NJ",
            "license": "QUALIFIED PROVIDER",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen-Hudson Lerning Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stellar Clinic NJ LLC
• Erica Michelle Stepansky, M.S. CCC-SLP
• Alan Michael Stephens, D.O.
• Marianne Stern
• Steven W. Braunstein MD
• Elizabeth Suarez-Garita, O.D
• Adriana I Suarez-Ligon, MD
• Sergio Alberto Suarez
• Sugandika Thilokeshwary Subawickrama, DSL
• Lokeash Subramani Shobana, MD.,

• Developmentally Disabled Services Day Training Agency in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.