Organization Active NPI

Kids Club ABA NJ LLC

  • Community/Behavioral Health Agency
  • Passaic, NJ
National Provider Identifier
1710876248
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KIDS CLUB ABA NJ LLC
Practice address
463 Passaic Ave
Passaic, NJ 07055-3301
Phone
(201) 992-0209
Fax
(201) 567-6649
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Moishe Bobker
Title
Ceo
Phone
(404) 458-0809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

463 Passaic Ave
Passaic, NJ 07055-3301

Mailing address

17 Newport Dr
Nanuet, NY 10954-3111

National Provider Directory

National Provider Directory
Tax ID family
Kids Club ABA NJ LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1710876248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NEWPORT DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 PASSAIC AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553301",
            "telephone_number": "201-992-0209",
            "fax_number": "201-567-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CLUB ABA NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "BOBKER",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-458-0809"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.