Individual provider Active NPI

Timothy Espino Ferraren, BCBA

  • Behavior Analyst
  • Toms River, NJ
National Provider Identifier
1598341968
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-64872 Issued in NJ
Practice address
599 NJ-37 West
Suite 1
Toms River, NJ 08755
Phone
(877) 222-0399
NPI assigned
Mar 24, 2021
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-64872 NJ Primary
Behavior Technician 106S00000X RBT-21-153824 NJ

Addresses

Primary practice location

599 NJ-37 West
Suite 1
Toms River, NJ 08755

Mailing address

30 Wills Way
Piscataway, NJ 08854-3770
Phone (732) 646-8774

Other practice location 1

30 Wills Way
Piscataway, NJ 08854-3770
Phone (732) 646-8774

Other practice location 2

120 Finderne Ave
Bridgewater, NJ 08807-3670
Phone (732) 646-8774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-21-153824NJMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1598341968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543770",
            "telephone_number": "732-646-8774",
            "fax_number": "732-646-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 NJ-37 WEST",
            "address_2": "SUITE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "877-222-0399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Wills Way",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088543770",
            "country_code": "US",
            "telephone_number": "732-646-8774",
            "fax_number": "732-646-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Finderne Ave",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088073670",
            "country_code": "US",
            "telephone_number": "732-646-8774",
            "fax_number": "732-646-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRAREN",
        "first_name": "TIMOTHY",
        "middle_name": "ESPINO",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-23-64872",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "RBT-21-153824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.