Destined 2 Grow LLC.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

DESTINED 2 GROW LLC.

Practice address

1 Ralston Way
Monroe Township, NJ 08831-2901

Phone

(732) 710-1804

NPI assigned

Sep 13, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elsie Shegbone, MSEDNPI 1306100235

Title

Special Educator

Phone

(732) 710-1804

Specialties & licenses 1

Addresses

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.

• Elsie Shegbone, SPECIAL EDUCATION

  • Specialist
  • Glendale, NY
  • NPI 1306100235
  NPD (past) Authorized official

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275052029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RALSTON WAY",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088312901",
            "telephone_number": "732-710-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RALSTON WAY",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088312901",
            "telephone_number": "732-710-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINED 2 GROW LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHEGBONE",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_title_or_position": "SPECIAL EDUCATOR",
        "authorized_official_telephone_number": "732-710-1804",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Rabinowitz, DDS, PA
• Charles Michael Defendorf, D.O.
• Tobia Delgiudice, MSW LCSW
• Dental Care of Monroe, LLC
• Jennifer Deo
• Laura Dicarlo, LAC
• Mark Joseph Donlon, OD
• Kathleen Mary Dreyfuss
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• Rose N Egbutu

• Early Intervention Provider Agency in Monroe Township, NJ
• Providers in Monroe Township, NJ by specialty
• Early Intervention Provider Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.