Sky Therapy Center LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SKY THERAPY CENTER LLC

Practice address

1139 E Jersey St Ste 426
Elizabeth, NJ 07201-2451

Phone

(973) 338-2516

NPI assigned

Mar 18, 2015

Last updated

Mar 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Modesto Edilberto Falls

Title

President

Phone

(973) 338-2516

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1720471543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E JERSEY ST STE 426",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012451",
            "telephone_number": "973-338-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E JERSEY ST STE 426",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012451",
            "telephone_number": "973-338-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "FALLS",
        "authorized_official_first_name": "MODESTO",
        "authorized_official_middle_name": "EDILBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-338-2516"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.