Spina Bifida Resource Network

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SPINA BIFIDA RESOURCE NETWORK

Practice address

84 Park Ave
Suite G-106
Flemington, NJ 08822-1172

Phone

(908) 782-7475

NPI assigned

Nov 12, 2012

Organization subpart

No

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

Authorized official

Name

Roberta Kestenbaum, PHD

Title

Executive Director

Phone

(908) 782-7475

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1417291683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PARK AVE",
            "address_2": "SUITE G-106",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221172",
            "telephone_number": "908-782-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PARK AVE",
            "address_2": "SUITE G-106",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221172",
            "telephone_number": "908-782-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINA BIFIDA RESOURCE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "KESTENBAUM",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-782-7475",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Flemington, NJ
• Providers in Flemington, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.