Teachable Moments of NJ

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

00375093 Issued in NJ

Legal business name

TEACHABLE MOMENTS OF NJ

Practice address

41 Fairmount Ave Apt 8B
Hackensack, NJ 07601-4747

Phone

(201) 478-1547

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanine Marie Potenza, TOHNPI 1295258333

Title

Director

Phone

(201) 478-1547

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanine Marie Potenza

  • Respite Care
  • Hackensack, NJ
  • NPI 1295258333
  NPD (past) Authorized official

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1043735699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1122",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076077122",
            "telephone_number": "201-478-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FAIRMOUNT AVE APT 8B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014747",
            "telephone_number": "201-478-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEACHABLE MOMENTS OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "POTENZA",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-478-1547",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "TOH"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "00370093",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NJ",
            "license": "00375093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Tavares
• Kelly Taxeras, DNP
• Charles Taylor
• Cody Wolfson Taylor, MD
• Daenielle Taylor, NP
• Team Management 2000 Inc
• Team Management 2000 Inc
• Louis Evan Teichholz, MD
• Alan M Tell, MD
• Shoshana Sophie Rothman Tell, M.D.

• Developmental Disabilities Clinic/Center in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.