Organization Active NPI

Skillz of New Jersey

  • Contractor
  • Paterson, NJ
National Provider Identifier
1114517513
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
SKILLZ OF NEW JERSEY
Practice address
347 E Railway Ave FL 2
Paterson, NJ 07503-1217
Phone
(973) 653-9974
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Tarek Alnatur
Title
President
Phone
(201) 321-2855

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171W00000X Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X
Dance TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225600000X
Music TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225A00000X
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

347 E Railway Ave FL 2
Paterson, NJ 07503-1217

Mailing address

161 E 9TH St
Clifton, NJ 07011-1773
Phone (201) 321-2855

National Provider Directory

National Provider Directory

Locations

347 E Railway Ave
Fl 2
Paterson, NJ 07503
Phone (973) 653-9974

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1114517513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E 9TH ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111773",
            "telephone_number": "201-321-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 E RAILWAY AVE FL 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075031217",
            "telephone_number": "973-653-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLZ OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "ALNATUR",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-321-2855"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.