Provider Demographics
NPI:1275272163
Name:TEMIMOS
Entity Type:Organization
Organization Name:TEMIMOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUDOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:917-533-0212
Mailing Address - Street 1:144 ADELAIDE PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1101
Mailing Address - Country:US
Mailing Address - Phone:917-533-0212
Mailing Address - Fax:
Practice Address - Street 1:144 ADELAIDE PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-1101
Practice Address - Country:US
Practice Address - Phone:917-533-0212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services