Innovative Therapeutic Services, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

41YS00388300 Issued in NJ

Legal business name

INNOVATIVE THERAPEUTIC SERVICES, LLC

Practice address

4 Railroad Ave
Somerset, NJ 08873-2724

Phone

(732) 649-3439

Fax

(732) 649-3441

NPI assigned

Feb 28, 2007

Last updated

Jan 30, 2013By 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

Mrs. Gloria Anderson-Ballard, MA

Title

President and Speech Pathologist

Phone

(732) 649-3439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1760519375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RAILROAD AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732724",
            "telephone_number": "732-649-3439",
            "fax_number": "732-649-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RAILROAD AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732724",
            "telephone_number": "732-649-3439",
            "fax_number": "732-649-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-BALLARD",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT AND SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "732-649-3439",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NJ",
            "license": "41YS00388300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.