Organization Active NPI

Rising Stars ABA LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Lakewood, NJ
National Provider Identifier
1033756648
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
RISING STARS ABA LLC
Practice address
3 Trudy LN
Lakewood, NJ 08701-4675
Phone
(347) 528-2333
NPI assigned
Dec 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Baruch Steinmetz
Title
Ceo
Phone
(347) 528-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

3 Trudy LN
Lakewood, NJ 08701-4675

Mailing address

3 Trudy LN
Lakewood, NJ 08701-4675

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1033756648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TRUDY LN",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TRUDY LN",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014675",
            "telephone_number": "347-528-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STARS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "STEINMETZ",
        "authorized_official_first_name": "BARUCH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-528-2333"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.