Benjamin Halberstam, PHD CCC-SLP

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

329 Aycrigg Ave
Passaic, NJ 07055-3713

Phone

(973) 471-3046

Fax

(973) 955-4395

NPI assigned

Dec 2, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapy Associates LLC

  • Developmental Disabilities Clinic/Center
  • Passaic, NJ
  • NPI 1386242311
  NPD Authorized official

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1326316563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 AYCRIGG AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553713",
            "telephone_number": "973-471-3046",
            "fax_number": "973-955-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 AYCRIGG AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553713",
            "telephone_number": "973-471-3046",
            "fax_number": "973-955-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERSTAM",
        "first_name": "BENJAMIN",
        "credential": "PHD CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Guttman, BCBA
• H&M Medical Transportation
• H&M Medical Transportation LLC
• Hadassah Selengut
• Faiga Hager, MS
• Gabrielle Halberstam, OT
• John P. Hallenbeck, DO
• Rina Halpert, LMSW
• Norhan Hammouda
• Tonya Lynn Hand, LCADC

• Developmental Therapist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Developmental Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.