Organization Active NPI

Superlative Therapy PC

  • Specialist
  • Newark, NJ
National Provider Identifier
1518235399
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SUPERLATIVE THERAPY PC
Practice address
300 Broadway
Newark, NJ 07104-4003
Phone
(973) 826-0060
NPI assigned
Dec 7, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Edwin Perez
Title
Partner
Phone
(973) 826-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

300 Broadway
Newark, NJ 07104-4003

Mailing address

300 Broadway
Newark, NJ 07104-4003
Phone (973) 826-0060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1518235399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044003",
            "telephone_number": "973-826-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044003",
            "telephone_number": "973-826-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERLATIVE THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-826-0060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.