Active NPI
Empowered Learning Center of Monmouth
- Pediatric Occupational Therapist
- Eatontown, NJ
National Provider Identifier
1316156334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 46TR00174300
- Legal business name
- EMPOWERED LEARNING CENTER OF MONMOUTH
- Practice address
- 615 Hope Rd
BLDG. 5B
Eatontown, NJ 07724-1277 - Phone
- (732) 380-7287
- Fax
- (732) 380-7289
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara M Jones
- Title
- Office Manager
- Phone
- (732) 380-7287
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | MA027605 | NJ | |
| Occupational Therapist | 225X00000X | 46TR00469400 | NJ | |
| Pediatric Occupational Therapist | 225XP0200X | 46TR00174300 | NJ | Primary |
Addresses
Primary practice location
615 Hope Rd
BLDG. 5B
Eatontown, NJ 07724-1277
Mailing address
615 Hope Rd
BLDG. 5B, 1St Floor
Eatontown, NJ 07724-1277
Phone (732) 380-7287
National Provider Directory
National Provider Directory- Tax ID family
- Empowered Learning Center of Monmouth
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Therapist
- Eatontown, NJ
- NPI 1902063993
Locations
615 Hope Rd
Bldg 5B
Eatontown, NJ 07724
Phone (732) 380-7287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216252800000",
"number": "1316156334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 HOPE RD",
"address_2": "BLDG. 5B, 1ST FLOOR",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241277",
"telephone_number": "732-380-7287",
"fax_number": "732-380-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 HOPE RD",
"address_2": "BLDG. 5B",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241277",
"telephone_number": "732-380-7287",
"fax_number": "732-380-7289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERED LEARNING CENTER OF MONMOUTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2008-07-17",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "732-380-7287"
},
"taxonomies": [
{
"code": "2080P0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "NJ",
"license": "MA027605",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00469400",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "NJ",
"license": "46TR00174300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.