Active NPI
Beloved Pediatric Therapy LLC
- Behavior Analyst
- Jersey City, NJ
National Provider Identifier
1417860321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BELOVED PEDIATRIC THERAPY LLC
- Practice address
- 111 Town Square PL Ste 1201
Jersey City, NJ 07310-1724 - Phone
- (718) 594-5616
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- 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
- Menachim Balkany, BCBA
- Title
- Member
- Phone
- (718) 594-5616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
111 Town Square PL Ste 1201
Jersey City, NJ 07310-1724
Mailing address
111 Town Square PL Ste 1201
Jersey City, NJ 07310-1724
Phone (718) 594-5616
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Analyst
- Brooklyn, NY
- NPI 1568300382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1417860321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 TOWN SQUARE PL STE 1201",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101724",
"telephone_number": "718-594-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 TOWN SQUARE PL STE 1201",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101724",
"telephone_number": "718-594-5616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELOVED PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "BALKANY",
"authorized_official_first_name": "MENACHIM",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "718-594-5616",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.