Dynamic Duo Support LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DYNAMIC DUO SUPPORT LLC

Practice address

1924 2ND Ave
Toms River, NJ 08757-3619

Phone

(732) 604-6117

NPI assigned

Oct 8, 2024

Last updated

Oct 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel S Kelly

Title

Co-Owner/ Operator

Phone

(732) 604-6117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1477372316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 2ND AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573619",
            "telephone_number": "732-604-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 2ND AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573619",
            "telephone_number": "732-604-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DUO SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER/ OPERATOR",
        "authorized_official_telephone_number": "732-604-6117"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Dwyer, OTR/L
• Jesse Joe Santos Dy Tioco, PT
• Danielle Dy
• Margaretann Dyas, LPN
• Francine Dygulski
• Michael Dzitzer, DDS
• Ear Nose Throat of New Jersey, P.a.
• Stephanie Earl
• Katelyn Earles
• East Coast DME

• Community/Behavioral Health Agency in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

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