Provider Demographics
NPI:1992102339
Name:CENTER FOR CHILDREN'S THERAPY
Entity type:Organization
Organization Name:CENTER FOR CHILDREN'S THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:LUPINACCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-785-9300
Mailing Address - Street 1:1425 POMPTON AVE STE 1-3
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1043
Mailing Address - Country:US
Mailing Address - Phone:973-785-9300
Mailing Address - Fax:
Practice Address - Street 1:1425 POMPTON AVE STE 1-3
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009-1043
Practice Address - Country:US
Practice Address - Phone:973-785-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation