Organization Active NPI

121 Learning Works, LLC

  • Developmentally Disabled Services Day Training Agency
  • Pine Brook, NJ
National Provider Identifier
1174042220
Registry record updated Sep 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
121 LEARNING WORKS, LLC
Practice address
300 Changebridge Road
Suite 101
Pine Brook, NJ 07058
Phone
(973) 500-6767
NPI assigned
Sep 10, 2017
Last updated
Sep 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2017

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

Authorized official

Name
Mr. Ray Cepeda
Title
Co-Director
Phone
(973) 500-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

300 Changebridge Road
Suite 101
Pine Brook, NJ 07058

Mailing address

300 Changebridge Rd Ste 101
Pine Brook, NJ 07058-9512

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505001600000",
    "number": "1174042220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHANGEBRIDGE RD STE 101",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHANGEBRIDGE ROAD",
            "address_2": "SUITE 101",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "07058",
            "telephone_number": "973-500-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "121 LEARNING WORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-10",
        "last_updated": "2017-09-10",
        "status": "A",
        "authorized_official_last_name": "CEPEDA",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "973-500-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.