Active NPI
Joseph Robert Jaskolski
- Behavior Technician
- Summit, NJ
National Provider Identifier
1285249128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- J07524107911915
- Practice address
- 96 Prospect St
Summit, NJ 07901-2406 - Phone
- (908) 273-1231
- NPI assigned
- Sep 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | J07524107911915 | NJ | Primary |
Addresses
Primary practice location
96 Prospect St
Summit, NJ 07901-2406
Mailing address
8454 S 2200 W
West Jordan, UT 84088-9516
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
| License | State | Type | Specialty |
|---|---|---|---|
| J07524107911915 | NJ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1285249128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8454 S 2200 W",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 PROSPECT ST",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012406",
"telephone_number": "908-273-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASKOLSKI",
"first_name": "JOSEPH",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": "J07524107911915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.