Active NPI
Keyla Urena
- Behavior Analyst
- Newark, NJ
National Provider Identifier
1316618812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 416 Leslie St.
2L
Newark, NJ 07112 - Phone
- (347) 330-4483
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
416 Leslie St.
2L
Newark, NJ 07112
Mailing address
416 Leslie St.
2L
Newark, NJ 07112
Phone (347) 330-4483
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 347-330-4483 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1316618812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 LESLIE ST.",
"address_2": "2L",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07112",
"telephone_number": "347-330-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 LESLIE ST.",
"address_2": "2L",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07112",
"telephone_number": "347-330-4483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URENA",
"first_name": "KEYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "347-330-4483",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "416 Leslie St.",
"address_2": "2L",
"city": "Newark",
"state": "NJ",
"country_code": "US",
"postal_code": "07112",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.