Amateur Athletic Union of the United States / Special Dragons a NJ Non

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

AMATEUR ATHLETIC UNION OF THE UNITED STATES / SPECIAL DRAGONS A NJ NON

Practice address

242 Chestnut St
Nutley, NJ 07110-2329

Phone

(973) 667-8525

NPI assigned

Jun 11, 2020

Organization subpart

Yes

Parent organization

AMATEUR ATHLETIC UNION OF THE UNITED STATES INC.As reported in NPPES

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

Authorized official

Name

Mr. George Bostory, MAT

Title

Founder

Phone

(973) 667-8525

Specialties & licenses 4

Addresses

Other names 1

• Special Dragons Doing business as

Tax ID family

Amateur Athletic Union of the United States Special Dragons a NJ Non4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Amateur Athletic Union of the United States / Special Dragons

  • Developmentally Disabled Services Day Training Agency
  • Nutley, NJ
  • NPI 1518583145
  NPD tax ID
• Amateur Athletic Union of the United States / Special Dragons a NJ Non

  • Recreation Therapist
  • Jersey City, NJ
  • NPI 1619592540
  NPD tax ID
• Amateur Athletic Union of the United States / Special Dragons a NJ Non

  • Recreation Therapist
  • Union, NJ
  • NPI 1720603657
  NPD tax ID

Locations

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1144845595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 TIONA AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092235",
            "telephone_number": "973-667-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102329",
            "telephone_number": "973-667-8525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070839411",
            "country_code": "US",
            "telephone_number": "973-667-8525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Cator Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073052801",
            "country_code": "US",
            "telephone_number": "973-667-8525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMATEUR ATHLETIC UNION OF THE UNITED STATES / SPECIAL DRAGONS A NJ NON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMATEUR ATHLETIC UNION OF THE UNITED STATES INC.",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "BOSTORY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "973-667-8525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAT"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Dragons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor Manuel Alvarez, LCSW
• Bervely Alverna, LSW
• Frank R. Amadio Jr., MSED
• Adiam Amare, AUD
• Amateur Athletic Union of the United States / Special Dragons
• Ambu Trust LLC
• American Diagnostic Imaging of Nutley
• Meha Amin, PA-C
• Harshapradhaa Amirthajothi
• Robert B Anderson III, DPT

• Recreation Therapist in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Recreation Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.