Active NPI
Cortica New Jersey ABA Therapies PC
- Developmental Disabilities Clinic/Center
- Warren, NJ
National Provider Identifier
1336802586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- 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, 2024
- 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
- Neil Hattangadi, MD
- Title
- Ceo
- Phone
- (858) 216-8837
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Neurology with Special Qualifications in Child Neurology Physician | 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 DirectoryLocations
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.