Latin American Institute

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

2000433 Issued in NJ

Legal business name

LATIN AMERICAN INSTITUTE

Practice address

10 Banta PL Ste 110
Hackensack, NJ 07601-5605

Phone

(201) 525-1700

Fax

(201) 525-0544

NPI assigned

Feb 4, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sara De Bernal, PHD,LCADC,CASAC

Title

Executive Director

Phone

(201) 289-2832

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1679997100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BANTA PL STE 110",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015605",
            "telephone_number": "201-525-1700",
            "fax_number": "201-525-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BANTA PL STE 110",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015605",
            "telephone_number": "201-525-1700",
            "fax_number": "201-525-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIN AMERICAN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "DE BERNAL",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-289-2832",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD,LCADC,CASAC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "2000433",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "2000433",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NJ",
            "license": "2000433",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Larson
• Laser and Vein Treatment Center
• Charmayne Lash
• Susan Z Lastra, PT, DPT
• Johanna Laszloczky, FNP-BC
• Eric Latzman, LSW
• Henry Lau, M.D.
• Brian Laura
• Marie C. Laurent
• Amanda M Lauricella, PA

• Multi-Specialty Clinic/Center in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.