NJ Healthcare Services LLC.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

NJ HEALTHCARE SERVICES LLC.

Practice address

174 Boulevard Ste 2
Hasbrouck Heights, NJ 07604-1844

Phone

(201) 426-0299

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Poornima Shivkumar

Title

President

Phone

(201) 426-0299

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1376385435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BOULEVARD STE 2",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BOULEVARD STE 2",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041844",
            "telephone_number": "201-426-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ HEALTHCARE SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "SHIVKUMAR",
        "authorized_official_first_name": "POORNIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-426-0299",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine L Mooney, DPT
• David Morin, RPH
• Jaime Moya, M.D.
• New Jersey Podiatric Physicians & Surgeons Group,LLC
• New Jersey Rehab Pain Clinic PC
• NJ Ny Management, PC
• Nkpeds PC
• North Jersey Surgical Assistant Services, LLC
• Siobhan Ann O'Neil, LSW
• Kristen O'Neill Abbate, MA,LPC

• Developmentally Disabled Services Day Training Agency in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.