Provider Demographics
NPI:1629640206
Name:NORTH JERSEY THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:NORTH JERSEY THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/ CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DINNO PAULO
Authorized Official - Middle Name:VILLARAMA
Authorized Official - Last Name:JURADO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, MSOT
Authorized Official - Phone:914-217-4672
Mailing Address - Street 1:45 NOLL TER
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3913
Mailing Address - Country:US
Mailing Address - Phone:914-217-4672
Mailing Address - Fax:
Practice Address - Street 1:45 NOLL TER
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3913
Practice Address - Country:US
Practice Address - Phone:914-217-4672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty