Encore Floortime LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

ENCORE FLOORTIME LLC

Practice address

1950 Rutgers University Blvd
Lakewood, NJ 08701-4537

Phone

(347) 743-7013

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Mordechai T MeiselsNPI 1447514666

Title

Cco

Phone

(347) 743-7013

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Mordechai Tzvi Meisels, M.S.

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1447514666
  NPD Authorized official

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1508440603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 44TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192108",
            "telephone_number": "347-743-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 RUTGERS UNIVERSITY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014537",
            "telephone_number": "347-743-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE FLOORTIME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "MEISELS",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "347-743-7013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "encoresupport.org",
            "affiliation": "N",
            "address_1": "1950 Rutgers University Blvd",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087014537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.