Autism Sports Academy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AUTISM SPORTS ACADEMY

Practice address

435 Hollywood Ave Ste 11
Fairfield, NJ 07004-2406

Phone

(551) 280-3172

NPI assigned

Jun 28, 2023

Last updated

Jul 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phil Sgroi IV, MA

Title

Teacher

Phone

(201) 674-3363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1023795580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MELROSE AVE",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070315918",
            "telephone_number": "551-280-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 HOLLYWOOD AVE STE 11",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042406",
            "telephone_number": "551-280-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SPORTS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "SGROI",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "TEACHER",
        "authorized_official_telephone_number": "201-674-3363",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.