Organization Active NPI

Destiny Early Childhood Consulting & Developmental Services

  • Early Intervention Provider Agency
  • Paterson, NJ
National Provider Identifier
1184001364
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
552955 Issued in NJ
Legal business name
DESTINY EARLY CHILDHOOD CONSULTING & DEVELOPMENTAL SERVICES
Practice address
193 Haledon Ave
Paterson, NJ 07522-1272
Phone
(973) 595-0900
Fax
(973) 595-0933
NPI assigned
Apr 27, 2015
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
June Cade, MA EDUCATIONNPI 1376930503
Title
Child Development Specialist
Phone
(973) 595-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 552955 NJ Primary

Addresses

Primary practice location

193 Haledon Ave
Paterson, NJ 07522-1272

Mailing address

PO Box 282
Hamburg, NJ 07419-0282
Phone (973) 595-0900

National Provider Directory

National Provider Directory

Locations

193 Haledon Ave
Paterson, NJ 07522
Phone (973) 595-0900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1184001364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074190282",
            "telephone_number": "973-595-0900",
            "fax_number": "973-595-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 HALEDON AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221272",
            "telephone_number": "973-595-0900",
            "fax_number": "973-595-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY EARLY CHILDHOOD CONSULTING & DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "CADE",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "CHILD DEVELOPMENT SPECIALIST",
        "authorized_official_telephone_number": "973-595-0900",
        "authorized_official_credential": "MA EDUCATION"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NJ",
            "license": "552955",
            "primary": true
        }
    ],
    "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 Apr 27, 2015; 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.