Active NPI
Amazing Strides
- Case Management Agency
- Newark, NJ
National Provider Identifier
1649098880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- AMAZING STRIDES
- Doing business as
- Amazing Strides
- Practice address
- 625 Broad St Ste 240
Newark, NJ 07102-4417 - Phone
- (973) 241-3602
- Fax
- (862) 444-0135
- NPI assigned
- Sep 27, 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
- Mrs. Dominique Anderson
- Title
- Executive Director
- Phone
- (973) 241-3602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
625 Broad St Ste 240
Newark, NJ 07102-4417
Mailing address
225 Ridgewood Ave Unit 8152
Glen Ridge, NJ 07028-6619
Phone (973) 241-3602
Other names 1
- Amazing Strides
National Provider Directory
National Provider Directory- Tax ID family
- Amazing Strides
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Manager/Care Coordinator
- Newark, NJ
- NPI 1598257115
Locations
225 Ridgewood Ave
Unit 8152
Glen Ridge, NJ 07028
142 Lafayette St
Newark, NJ 07015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767830400000",
"number": "1649098880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 RIDGEWOOD AVE UNIT 8152",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070286619",
"telephone_number": "973-241-3602",
"fax_number": "862-444-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 BROAD ST STE 240",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071024417",
"telephone_number": "973-241-3602",
"fax_number": "862-444-0135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING STRIDES",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-27",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DOMINIQUE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "973-241-3602",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amazing Strides",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.