Supreme Consultants LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUPREME CONSULTANTS LLC

Practice address

298 Ridge Rd
Lyndhurst, NJ 07071-1929

Phone

(201) 372-9600

Fax

(201) 372-9550

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. H. Gustavo Estrada, B.A

Title

President

Phone

(201) 372-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Supreme Consultants LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Supreme Consultants LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Rutherford, NJ
  • NPI 1932098241
  NPD tax ID
• Supreme Consultants, Limited Liability Company

  • Community/Behavioral Health Agency
  • Rutherford, NJ
  • NPI 1760368559
  NPD tax ID

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235266396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711929",
            "telephone_number": "201-372-9600",
            "fax_number": "201-372-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711929",
            "telephone_number": "201-372-9600",
            "fax_number": "201-372-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "12013729600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020524",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robert W Tarantino, D.C.
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• Community/Behavioral Health Agency in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.