Organization Active NPI

Autism Procare, LLC

  • Behavior Analyst
  • Hackensack, NJ
National Provider Identifier
1992313050
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM PROCARE, LLC
Practice address
2 University PLZ Ste 100
Hackensack, NJ 07601-6210
Phone
(201) 298-3737
NPI assigned
Jul 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Joseph D Kim
Title
Ceo
Phone
(201) 298-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2 University PLZ Ste 100
Hackensack, NJ 07601-6210

Mailing address

2460 Lemoine Ave Ste 306
Fort Lee, NJ 07024-6210

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkim@autismprocare.com

National Provider Directory

National Provider Directory

Locations

110 Charlotte Pl
Ste 101
Englewd Clfs, NJ 07632

2460 Lemoine Ave
Ste 306
Fort Lee, NJ 07024
Phone (201) 298-3737

Practitioners & affiliated clinicians

Practitioners 7

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": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1992313050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE STE 306",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 100",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016210",
            "telephone_number": "201-298-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM PROCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-298-3737"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkim@autismprocare.com",
            "affiliation": "N",
            "address_1": "2 University Plz Ste 100",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076016210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.