Organization Active NPI

Pediatric & Adolescent Therapy Associates LLC

  • Home Health Agency
  • Upper Montclair, NJ
National Provider Identifier
1104331891
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEDIATRIC & ADOLESCENT THERAPY ASSOCIATES LLC
Practice address
286 N Mountain Ave
Upper Montclair, NJ 07043-1019
Phone
(973) 534-2827
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Ms. Aron Lipman, OTR/L
Title
President
Phone
(973) 534-2827

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

286 N Mountain Ave
Upper Montclair, NJ 07043-1019

Mailing address

551 Valley Rd Ste 121
Upper Montclair, NJ 07043-1832
Phone (973) 534-2827

Other identifiers 1

IdentifierTypeStateIssuer
1013204288OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1104331891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 VALLEY RD STE 121",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431832",
            "telephone_number": "973-534-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N MOUNTAIN AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431019",
            "telephone_number": "973-534-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "LIPMAN",
        "authorized_official_first_name": "ARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-534-2827",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013204288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.