Kaleidoscope Therapeutic Riding Program, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

KALEIDOSCOPE THERAPEUTIC RIDING PROGRAM, INC.

Practice address

21 Branin Road
Medford, NJ 08055

Phone

(609) 923-7847

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Pohubka

Title

Executive Director

Phone

(609) 914-5329

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1689120305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ELMWOOD DRIVE",
            "city": "TABERNACLE",
            "state": "NJ",
            "postal_code": "08088",
            "telephone_number": "609-914-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BRANIN ROAD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "08055",
            "telephone_number": "609-923-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE THERAPEUTIC RIDING PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "POHUBKA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-914-5329",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham P Jones, M.D.
• Heather Dawn Jones, LCSW
• Richard Stewart Jones, DMD
• Claire L. Jurkowski, M.D.
• Kadin Foot & Ankle Center PC
• Danielle Alexis Kasoff, MA, LAC, R-DMT, CTP,
• Kathryn Keebler, LSW
• Nilda M. Keene, M.D
• Maureen Keller, DO
• Geralyn Kelly

• Voluntary or Charitable Agency in Medford, NJ
• Providers in Medford, NJ by specialty
• Voluntary or Charitable Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.