Active NPI
On Track Kids Therapy
- Speech-Language Pathologist
- Jersey City, NJ
National Provider Identifier
1316537087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- ON TRACK KIDS THERAPY
- Practice address
- 70 Greene St Apt 310
Jersey City, NJ 07302-7590 - Phone
- (646) 410-6058
- NPI assigned
- Jan 26, 2021
- Last updated
- Jan 26, 2021
- 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
- Matthew Masiello, SLP
- Title
- Director
- Phone
- (646) 410-6058
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
70 Greene St Apt 310
Jersey City, NJ 07302-7590
Mailing address
70 Greene St Apt 310
Jersey City, NJ 07302-7590
Phone (646) 410-6058
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- Jackson, NJ
- NPI 1194180984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1316537087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 GREENE ST APT 310",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073027590",
"telephone_number": "646-410-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 GREENE ST APT 310",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073027590",
"telephone_number": "646-410-6058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON TRACK KIDS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "MASIELLO",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "646-410-6058",
"authorized_official_credential": "SLP"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.