NPIMap

Organization Active NPI

Hybridge Learning Group LLC

  • Behavior Analyst
  • Freehold, NJ
National Provider Identifier
1295057024
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HYBRIDGE LEARNING GROUP LLC
Practice address
55 Schanck Rd Ste a-8
Freehold, NJ 07728-2963
Phone
(732) 702-2018
NPI assigned
Feb 21, 2010
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Mr. Jamil Malik Brown, M.S.
Title
Director
Phone
(908) 917-2552

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary
Assistant Behavior Analyst 106E00000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

55 Schanck Rd Ste a-8
Freehold, NJ 07728-2963

Mailing address

55 Schanck Rd Ste a-8
Freehold, NJ 07728-2963
Phone (732) 702-2018

Other practice location 1

100 Franklin Square Dr
Suite 208
Somerset, NJ 08873-4109
Phone (908) 917-2552

National Provider Directory

National Provider Directory
Tax ID family
Hybridge Learning Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5350 Summit Bridge Rd
Ste 101
Middletown, DE 19709
Phone (484) 886-8742

3511 Silverside Rd
Ste 105
Wilmington, DE 19810
Phone (302) 455-2600

466 Route 12
Flemington, NJ 08822
Phone (833) 937-2724

100 Franklin Square Dr
Ste 208
Somerset, NJ 08873
Phone (908) 917-2252

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1295057024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SCHANCK RD STE A-8",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282963",
            "telephone_number": "732-702-2018",
            "fax_number": "908-271-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SCHANCK RD STE A-8",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282963",
            "telephone_number": "732-702-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Franklin Square Dr",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088734109",
            "country_code": "US",
            "telephone_number": "908-917-2552",
            "fax_number": "908-271-7110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HYBRIDGE LEARNING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-21",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_middle_name": "MALIK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-917-2552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.