Organization Active NPI

Expanded Capacities

  • Behavior Analyst
  • Lakewood, NJ
National Provider Identifier
1689443673
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EXPANDED CAPACITIES
Practice address
627 Woodbine LN
Lakewood, NJ 08701-5879
Phone
(732) 898-3434
NPI assigned
Jan 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Authorized official

Name
Mr. Tzvi Fried
Title
Owner
Phone
(631) 703-8476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

627 Woodbine LN
Lakewood, NJ 08701-5879

Mailing address

627 Woodbine LN
Lakewood, NJ 08701-5879

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1689443673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 WOODBINE LN",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 WOODBINE LN",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015879",
            "telephone_number": "732-898-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPANDED CAPACITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "TZVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-703-8476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.