Organization Active NPI

Empowered Learning Center of Monmouth

  • Pediatric Occupational Therapist
  • Eatontown, NJ
National Provider Identifier
1316156334
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00174300 Issued in NJ
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

Updated by the provider on Jul 17, 2008

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)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0008X MA027605 NJ
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 46TR00469400 NJ
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Monmouth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.