Active NPI
Pediatric Interactions, LLC
- Behavior Analyst
- Manalapan, NJ
National Provider Identifier
1710519285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Speech-Language Pathologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.pediatricinteractionsnj.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Behavior Analyst
- Princeton, NJ
- NPI 1699129619
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.