Marblejam Kids Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARBLEJAM KIDS INC.

Practice address

214 State Street
Suite 204
Hackensack, NJ 07601

Phone

(201) 497-6512

Fax

(201) 942-4450

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Filomena Villa-Bager

Title

President/ Exec. Director

Phone

(201) 497-6512

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1720419047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 STATE STREET",
            "address_2": "SUITE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-497-6512",
            "fax_number": "201-942-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STATE STREET",
            "address_2": "SUITE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-497-6512",
            "fax_number": "201-942-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLEJAM KIDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "VILLA-BAGER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "FILOMENA",
        "authorized_official_title_or_position": "PRESIDENT/ EXEC. DIRECTOR",
        "authorized_official_telephone_number": "201-497-6512",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BUSINESS IDENTIFICATION NUMBER",
            "identifier": "0100982978",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qaiser Mansoor, MBBS, MD
• Ahmed Mansour, NP
• Hope Manuel, P.T.
• Christopher George Mapa, M.D.
• Mariza E Marasigan, MD
• Suzanne M Marcellaro, APN
• Danielle Elizabeth Marcotulli, APN
• Michelle Marie Maresca, MD
• Katherine Margolin, MD
• Maria R Keanchong MD PA

• Community/Behavioral Health Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.