Organization Active NPI

Pediatric Interactions, LLC

  • Behavior Analyst
  • Manalapan, NJ
National Provider Identifier
1710519285
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PEDIATRIC INTERACTIONS, LLC
Practice address
47 Wilson Ave
Manalapan, NJ 07726-1589
Phone
(732) 617-6797
Fax
(732) 358-0591
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Karitssa Fernandez Barry, M. ED, BCBA
Title
Owner
Phone
(732) 617-6797

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

47 Wilson Ave
Manalapan, NJ 07726-1589

Mailing address

47 Wilson Ave
Manalapan, NJ 07726-1589
Phone (732) 617-6797

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.pediatricinteractionsnj.com Direct

National Provider Directory

National Provider Directory

Locations

47 Wilson Ave
Manalapan, NJ 07726
Phone (732) 331-9845

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1710519285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WILSON AVE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261589",
            "telephone_number": "732-617-6797",
            "fax_number": "732-358-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WILSON AVE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261589",
            "telephone_number": "732-617-6797",
            "fax_number": "732-358-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC INTERACTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ BARRY",
        "authorized_official_first_name": "KARITSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-617-6797",
        "authorized_official_credential": "M. ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pediatricinteractionsnj.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "47 Wilson Ave",
            "city": "Manalapan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077261589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.