Therapy Funplace LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THERAPY FUNPLACE LLC

Practice address

102 Aycrigg Ave
Passaic, NJ 07055-5608

Phone

(201) 777-0473

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Tzivia Feder

Title

Manager

Phone

(201) 777-0473

Specialties & licenses 2

Addresses

Practitioners 1

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

• Susan Wisotsky

  • Occupational Therapist
  • Clifton, NJ
  • NPI 1912361759
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451779200000",
    "number": "1649648429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 AYCRIGG AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555608",
            "telephone_number": "201-777-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 AYCRIGG AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555608",
            "telephone_number": "201-777-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY FUNPLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2016-01-03",
        "status": "A",
        "authorized_official_last_name": "FEDER",
        "authorized_official_first_name": "TZIVIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-777-0473"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.