Organization Active NPI

Cortica New Jersey ABA Therapies PC

  • Developmental Disabilities Clinic/Center
  • Warren, NJ
National Provider Identifier
1336802586
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
CORTICA NEW JERSEY ABA THERAPIES PC
Practice address
67A Mountain Blvd
Ext. 1St Floor, Unit B
Warren, NJ 07059-5626
Phone
(908) 873-6337
Fax
(908) 332-5668
NPI assigned
Oct 14, 2021
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Neil Hattangadi, MD
Title
Ceo
Phone
(858) 216-8837

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

67A Mountain Blvd
Ext. 1St Floor, Unit B
Warren, NJ 07059-5626

Mailing address

6160 Cornerstone CT E Ste 100
San Diego, CA 92121-3724
Phone (858) 216-8837

National Provider Directory

National Provider Directory

Locations

10201 Wateridge Cir
Ste 450
San Diego, CA 92121

100 Connell Dr
Ofc 267
Berkeley Heights, NJ 07922

67A Mountain Blvd Ext
Ste 1
Warren, NJ 07059
Phone (908) 725-2366

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1336802586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 CORNERSTONE CT E STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213724",
            "telephone_number": "858-216-8837",
            "fax_number": "888-383-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67A MOUNTAIN BLVD",
            "address_2": "EXT. 1ST FLOOR, UNIT B",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595626",
            "telephone_number": "908-873-6337",
            "fax_number": "908-332-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTICA NEW JERSEY ABA THERAPIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "HATTANGADI",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-216-8837",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.