Jersey City Community Charter School

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

44SW05294600 Issued in NJ

Legal business name

JERSEY CITY COMMUNITY CHARTER SCHOOL

Practice address

128 Danforth Ave
Jersey City, NJ 07305-2626

Phone

(201) 433-2288

NPI assigned

Jan 3, 2018

Last updated

Mar 17, 2018By 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

Ms. Nora Galleros, SBA

Title

Sba

Phone

(201) 433-2288

Specialties & licenses 1

Addresses

Locations

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.

• Alisa B Olin, OTR/L

  • Pediatric Occupational Therapist
  • Scotch Plains, NJ
  • NPI 1356173264
  NPD

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1285141911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 DANFORTH AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052626",
            "telephone_number": "201-433-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 DANFORTH AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052626",
            "telephone_number": "201-433-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Bentley Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073041902",
            "country_code": "US",
            "telephone_number": "201-433-2288 x353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JERSEY CITY COMMUNITY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GALLEROS",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "SBA",
        "authorized_official_telephone_number": "201-433-2288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SBA"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "44SW05294600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Jeon
• Jersey Apothecary Inc (Jersey Drugs)
• Jersey Apothecary Inc (Jersey Drugs)
• Jersey Care Management LLC
• Jersey City Center for Othopaedic Injuries LLC
• Jersey City Connections, Inc
• Jersey City Critical Care Associates
• Jersey City Dental Group LLC
• Jersey City Dentistry Professional Corporation
• Jersey City Diagnostic Center Inc

• School Social Worker in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• School Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.