Easter Seals New Jersey,Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04936900 Issued in NJ

Legal business name

EASTER SEALS NEW JERSEY,INC

Practice address

25 Kennedy Blvd Ste 600
East Brunswick, NJ 08816-1262

Phone

(732) 905-5324

Fax

(732) 257-7373

NPI assigned

Dec 3, 2013

Last updated

Dec 3, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

EASTER SEALS NEW JERSEY, INCAs reported in NPPES

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

Authorized official

Name

Cheryl Marks Young

Title

Cfo

Phone

(732) 257-6662

Specialties & licenses 2

Addresses

Part of

Easter Seals New Jersey

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1760813661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KENNEDY BLVD STE 600",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161262",
            "telephone_number": "732-905-5324",
            "fax_number": "732-257-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KENNEDY BLVD STE 600",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161262",
            "telephone_number": "732-905-5324",
            "fax_number": "732-257-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS NEW JERSEY,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTER SEALS NEW JERSEY, INC",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "MARKS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-257-6662"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00041500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04936900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Coast Anesthesia LLC
• Easter Seals Financial Counseling Services LLC
• Easter Seals New Jersey
• Easter Seals New Jersey
• Easter Seals New Jersey
• Easter Seals of New Jersey Inc
• Clara Eatroff, BCBA
• Eb OT LLC
• Teresa Ecker, MD
• Bruce Allen Edelman, M.D.

• Clinical Social Worker in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.