Individual provider Active NPI

Joanna Rose Pedalino, RBT

  • Behavior Technician
  • Rochelle Park, NJ
National Provider Identifier
1235704768
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-17-41139 Issued in NJ
Practice address
17 Legion PL
Rochelle Park, NJ 07662-3209
Phone
(201) 843-3274
NPI assigned
May 26, 2021
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-41139 NJ Primary

Addresses

Primary practice location

17 Legion PL
Rochelle Park, NJ 07662-3209

Mailing address

130 W Pleasant Ave # 344
Maywood, NJ 07607-1335
Phone (201) 843-3274

Other identifiers 2

IdentifierTypeStateIssuer
BACB396837OtherNJBACB
RBT-17-41139OtherNJBACB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-17-41139NJMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart to Heart & Associates LLC PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1235704768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W PLEASANT AVE # 344",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071335",
            "telephone_number": "201-843-3274",
            "fax_number": "201-483-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LEGION PL",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623209",
            "telephone_number": "201-843-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDALINO",
        "first_name": "JOANNA",
        "middle_name": "ROSE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "RBT-17-41139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "BACB396837",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-17-41139",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.