NPIMap

Organization Active NPI

Leisure Bridges

  • Community/Behavioral Health Agency
  • Paramus, NJ
National Provider Identifier
1740655182
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEISURE BRIDGES
Practice address
296 E Ridgewood Ave
Paramus, NJ 07652-4820
Phone
(201) 343-6000
Fax
(201) 291-0492
NPI assigned
Dec 10, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BERGEN COUNTY SPECIAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Mr. John Susino
Title
School Business Administrator
Phone
(201) 343-6000

Specialties & licenses 1

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

Addresses

Primary practice location

296 E Ridgewood Ave
Paramus, NJ 07652-4820

Mailing address

540 Farview Avenue
Paramus, NJ 07652
Phone (201) 343-6000

National Provider Directory

National Provider Directory
Tax ID family
Guts6 organizations share this tax ID, including this one
Part of
Guts

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1740655182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FARVIEW AVENUE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-343-6000",
            "fax_number": "201-996-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524820",
            "telephone_number": "201-343-6000",
            "fax_number": "201-291-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE BRIDGES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERGEN COUNTY SPECIAL SERVICES",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "SUSINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SCHOOL BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "201-343-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.