Passaic County Elks Cerebral Palsy Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

081670 Issued in NJ

Legal business name

PASSAIC COUNTY ELKS CEREBRAL PALSY CENTER

Practice address

1481 Main Ave
Clifton, NJ 07011-2127

Phone

(973) 772-2600

Fax

(973) 772-5171

NPI assigned

May 23, 2011

Last updated

May 23, 2011By 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

Dr. William G Weiss, ED.D.

Title

Executive Director

Phone

(973) 772-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Passaic County Elks Adult Training Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Passaic County Elks Adult Training Center

  • Adult Day Care Clinic/Center
  • Clifton, NJ
  • NPI 1417096157
  NPD tax ID

Locations

Practitioners 2

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.

• Colleen Maura Stinton, PT, DPT

  • Physical Therapist
  • Clifton, NJ
  • NPI 1497953962
  NPD (past)
• B Irene Wexler, PT, MS

  • Specialist
  • Clifton, NJ
  • NPI 1457551434
  NPD (past)

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1518250604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112127",
            "telephone_number": "973-772-2600",
            "fax_number": "973-772-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112127",
            "telephone_number": "973-772-2600",
            "fax_number": "973-772-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC COUNTY ELKS CEREBRAL PALSY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-772-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "081670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3752704-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Partnerships for People, Inc.
• Partnerships for People, Inc.
• Bolivar Pascual, M.D.
• Harsheen Kaur Pasricha, OT
• Passaic County Elks Adult Training Center
• Passaic County Orthopaedic Associates LLC
• Passaic Medical Care Inc
• Passaic Vision Center (Clifton Eye Specialists)
• Pat David Biondi Ma-Ccca
• Anjali D Patel, D.O.

• Adult Day Care Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.