Organization Active NPI

Jason'S Sensory Gym

  • Pediatric Occupational Therapist
  • Teaneck, NJ
National Provider Identifier
1891971867
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00155200 Issued in NJ
Legal business name
JASON'S SENSORY GYM
Practice address
1183 Queen Anne Rd
Teaneck, NJ 07666-3529
Phone
(201) 833-4587
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mr. Jason Samuel Bernath, MS, OTR/LNPI 1497999866
Title
Owner-Head Occupational Therapist
Phone
(201) 833-4587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 46TR00155200 NJ Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 46TR00155200 NJ

Addresses

Primary practice location

1183 Queen Anne Rd
Teaneck, NJ 07666-3529

Mailing address

1183 Queen Anne Rd
Teaneck, NJ 07666-3529
Phone (201) 833-4587

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1891971867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663529",
            "telephone_number": "201-833-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663529",
            "telephone_number": "201-833-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON'S SENSORY GYM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "BERNATH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER-HEAD OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "201-833-4587",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00155200",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "46TR00155200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.