Organization Active NPI

Star Therapeutics

  • Occupational Therapist
  • Lakewood, NJ
National Provider Identifier
1386033595
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
STAR THERAPEUTICS
Practice address
1525 Prospect St Ste 206
Lakewood, NJ 08701-4662
Phone
(732) 961-7413
Fax
(732) 961-7414
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Yehudis Merling, OT
Title
Owner
Phone
(732) 961-7413

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1525 Prospect St Ste 206
Lakewood, NJ 08701-4662

Mailing address

1525 Prospect St Ste 206
Lakewood, NJ 08701-4662
Phone (732) 961-7413

National Provider Directory

National Provider Directory

Locations

1525 Prospect St
Ste 206
Lakewood, NJ 08701
Phone (732) 961-7413

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1386033595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 PROSPECT ST STE 206",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014662",
            "telephone_number": "732-961-7413",
            "fax_number": "732-961-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 PROSPECT ST STE 206",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014662",
            "telephone_number": "732-961-7413",
            "fax_number": "732-961-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "MERLING",
        "authorized_official_first_name": "YEHUDIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-961-7413",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.