Doorlab

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

DOORLAB

Practice address

67 S Glen Rd
Kinnelon, NJ 07405-2715

Phone

(973) 757-4153

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Yamilka Pena

Title

President

Phone

(973) 757-4153

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1316690159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S GLEN RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052715",
            "telephone_number": "973-757-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 S GLEN RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052715",
            "telephone_number": "973-757-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOORLAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "YAMILKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-757-4153"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Deingeniis, DO
• Paul Delos Reyes, PTA
• Catherine Jean Destefano, PT
• Jonathan Deutsch, M.D.
• Donna Donahue, LCSW
• Allan Dunkel, PHD
• Millicent Dunkel, LCSW, PH.D.
• Elc Rehabilitation
• Emerald Health Care Services, Inc.
• Epic Voyages LLC

• Community Health Worker in Kinnelon, NJ
• Providers in Kinnelon, NJ by specialty
• Community Health Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.