Timbuk2 Academy LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

TIMBUK2 ACADEMY LLC

Practice address

712 Stuyvesant Ave
Trenton, NJ 08618-4106

Phone

(609) 431-2549

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Ayana Abdulraheem

Title

Ceo

Phone

(609) 431-2549

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1740801158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77047",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086286047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 STUYVESANT AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184106",
            "telephone_number": "609-431-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBUK2 ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "ABDULRAHEEM",
        "authorized_official_first_name": "AYANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-431-2549"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M. Thomas, APN
• Tatiana Thomas
• Elaine Margaret Thress, M.A., CCC-A
• Stephen Tieku, M.D.
• Latoya Tift
• Trina Jade Lastimoza Tobias
• Ruth A Tobin, RN
• Stephanie Tohill, LMT
• Aiyana Nicole Tomlin
• Carolyn T Torre, RN, MA, APN,C.

• Counselor in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.