Axxiom Developmental Disability Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

AXXIOM DEVELOPMENTAL DISABILITY SERVICES LLC

Practice address

241 Shepard Ave
FL 2
East Orange, NJ 07018-2416

Phone

(973) 204-5060

NPI assigned

Mar 21, 2017

Last updated

Mar 28, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

AXXIOM INCAs reported in NPPES

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

Authorized official

Name

Mr. Damon K Ceaser

Title

President, Ceo, and Chairman

Phone

(973) 204-5060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1760913941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SHEPARD AVE",
            "address_2": "FL 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182416",
            "telephone_number": "973-204-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SHEPARD AVE",
            "address_2": "FL 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182416",
            "telephone_number": "973-204-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXXIOM DEVELOPMENTAL DISABILITY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXXIOM INC",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "CEASER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT, CEO, AND CHAIRMAN",
        "authorized_official_telephone_number": "973-204-5060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Auerbach, PA
• Derise Augustave
• Yveline Auguste, APN
• Aura Total Health Corp
• Axxiom Behaviorial Health LLC
• Axxiom Healthcare LLC
• Alma Ayala, RN
• Amenaghawon Ayanru, IBCLC
• Sharon Edith Ayers, DC
• Ifunanyachukwu Azikiwe

• Developmentally Disabled Services Day Training Agency in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.