Organization Active NPI

Caldwell Pediatric Therapy Center, LLC

  • Pediatric Occupational Therapist
  • West Caldwell, NJ
National Provider Identifier
1689791907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
CALDWELL PEDIATRIC THERAPY CENTER, LLC
Practice address
1129 Bloomfield Ave
Suite 101
West Caldwell, NJ 07006-7127
Phone
(973) 575-3321
Fax
(973) 575-1102
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anthony Dannunzio
Title
Office Manager
Phone
(973) 575-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1129 Bloomfield Ave
Suite 101
West Caldwell, NJ 07006-7127

Mailing address

1129 Bloomfield Ave
Suite 101
West Caldwell, NJ 07006-7127
Phone (973) 575-3321

National Provider Directory

National Provider Directory

Locations

1129 Bloomfield Ave
Ste 101
West Caldwell, NJ 07006
Phone (973) 575-3321

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689791907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE",
            "address_2": "SUITE 101",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067127",
            "telephone_number": "973-575-3321",
            "fax_number": "973-575-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE",
            "address_2": "SUITE 101",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067127",
            "telephone_number": "973-575-3321",
            "fax_number": "973-575-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL PEDIATRIC THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANNUNZIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-575-7576"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.