85 Hopper Ave

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10173-01-04 Issued in NJ

Legal business name

85 HOPPER AVE

Practice address

85 Hopper Ave
Waldwick, NJ 07463-1517

Phone

(201) 312-5599

NPI assigned

Mar 23, 2010

Last updated

Mar 23, 2010By 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

Deelip Mhaske, ACSW

Title

Ceo

Phone

(201) 312-5599

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1942524608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HOPPER AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631517",
            "telephone_number": "201-312-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HOPPER AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631517",
            "telephone_number": "201-312-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "85 HOPPER AVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "MHASKE",
        "authorized_official_first_name": "DEELIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-312-5599",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "10173-01-04",
            "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 Mar 23, 2010; 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.