JDK Social Station, LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

JDK SOCIAL STATION, LLC

Practice address

760 Post PL
Secaucus, NJ 07094-3241

Phone

(201) 739-8079

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Kirsten Raffel

Title

Co Owner

Phone

(201) 739-8079

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1922467927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 OAK ST",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422622",
            "telephone_number": "201-739-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 POST PL",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943241",
            "telephone_number": "201-739-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDK SOCIAL STATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "RAFFEL",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "201-739-8079"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.