Active NPI
Ejaj LLC
- Clinical Child & Adolescent Psychologist
- Teaneck, NJ
National Provider Identifier
1497505895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Legal business name
- EJAJ LLC
- Doing business as
- The Lazar Center
- Practice address
- 141 Ayers CT Ste 2a
Teaneck, NJ 07666-5160 - Phone
- (201) 530-7475
- NPI assigned
- Mar 26, 2024
- 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
- Joshua Sultanik
- Title
- Head of Operations
- Phone
- (201) 315-1209
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Art Therapist | 221700000X |
Addresses
Primary practice location
141 Ayers CT Ste 2a
Teaneck, NJ 07666-5160
Mailing address
1223 Emerson Ave
Teaneck, NJ 07666-2705
Phone (201) 315-1209
Other names 1
- The Lazar Center
National Provider Directory
National Provider DirectoryLocations
141 Ayers Ct
Ste 2A
Teaneck, NJ 07666
Phone (201) 530-7475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1497505895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 EMERSON AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076662705",
"telephone_number": "201-315-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 AYERS CT STE 2A",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665160",
"telephone_number": "201-530-7475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EJAJ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "SULTANIK",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "HEAD OF OPERATIONS",
"authorized_official_telephone_number": "201-315-1209"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Lazar Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.