Autism & Rehabilitation Institute of New Jersey

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AUTISM & REHABILITATION INSTITUTE OF NEW JERSEY

Practice address

310 2ND St
Lakewood, NJ 08701-3351

Phone

(732) 367-0019

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Etty Terebelo

Title

Owner

Phone

(732) 367-0019

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1184969388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 2ND ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013351",
            "telephone_number": "732-367-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM & REHABILITATION INSTITUTE OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "TEREBELO",
        "authorized_official_first_name": "ETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-367-0019"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.