Organization Active NPI

Smartkid Success

  • Rehabilitation Practitioner
  • Englishtown, NJ
National Provider Identifier
1376161174
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
SMARTKID SUCCESS
Practice address
176 US 9 North
Suite 202 Northpoint Building
Englishtown, NJ 07726
Phone
(732) 925-2195
NPI assigned
Jul 8, 2020
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Ashoo Jain
Title
Executive Director
Phone
(732) 925-2195

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 225500000X
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

176 US 9 North
Suite 202 Northpoint Building
Englishtown, NJ 07726

Mailing address

176 US 9 North
Suite 202 Northpoint Building
Englishtown, NJ 07726
Phone (732) 925-2195

National Provider Directory

National Provider Directory

Locations

176 US Highway 9
Ste 202
Englishtown, NJ 07726
Phone (732) 444-8579

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1376161174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 US 9 NORTH",
            "address_2": "SUITE 202 NORTHPOINT BUILDING",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-925-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 US 9 NORTH",
            "address_2": "SUITE 202 NORTHPOINT BUILDING",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-925-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTKID SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ASHOO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-925-2195"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englishtown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.