Individual provider Active NPI

Raymond William Loihle III, BCBA

  • Behavior Analyst
  • Hasbrouck Heights, NJ
National Provider Identifier
1245747732
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28573
Practice address
601 US Highway 46 W
Hasbrouck Heights, NJ 07604-3118
Phone
(201) 660-8270
Fax
(201) 660-8271
NPI assigned
Jan 5, 2018
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-28573 Primary

Addresses

NPPES NPI Registry

Primary practice location

601 US Highway 46 W
Hasbrouck Heights, NJ 07604-3118

Mailing address

601 US Highway 46 W
Hasbrouck Heights, NJ 07604-3118

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1-17-28573OtherBACB CERTIFICATION NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2018.

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1245747732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 US HIGHWAY 46 W",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076043118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 US HIGHWAY 46 W",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076043118",
            "telephone_number": "201-660-8270",
            "fax_number": "201-660-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIHLE",
        "first_name": "RAYMOND",
        "middle_name": "WILLIAM",
        "name_suffix": "III",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-28573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB CERTIFICATION NUMBER",
            "identifier": "1-17-28573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.