Jay Shree Krishna DDD Center LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

JAY SHREE KRISHNA DDD CENTER LLC

Doing business as

Peaceful DDD Center

Practice address

101 Industrial Ave Ste C
Little Ferry, NJ 07643-1936

Phone

(201) 870-6265

Fax

(201) 870-6263

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Parul Shah

Title

Owner

Phone

(201) 978-5555

Specialties & licenses 1

Addresses

Other names 1

• Peaceful DDD Center Doing business as

Locations

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1306678560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 INDUSTRIAL AVE STE C",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431936",
            "telephone_number": "201-870-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 INDUSTRIAL AVE STE C",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431936",
            "telephone_number": "201-870-6265",
            "fax_number": "201-870-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY SHREE KRISHNA DDD CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PARUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-978-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peaceful DDD Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ilia Gerassimov, LMT
• Jamie Melanie Pabon Giabia, PT
• Claudine Jeannette Green, LPN
• Omar Gurban, NP-C
• Innovative Foot and Ankle, P.a. (Innovative Foot and Ankle)
• Jay Shree Krishna LLC (Peaceful Adult Day Care)
• Joie's World. LLC (Joie's World)
• Hyangsun Kim
• Anthony Peter Labarbiera, DPM,DABPS
• Sir Vaughn Joffre Ainza Lacsamana

• Developmental Disabilities Clinic/Center in Little Ferry, NJ
• Providers in Little Ferry, NJ by specialty
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.