Healthcare Provider Details
I. General information
NPI: 1760322788
Provider Name (Legal Business Name): ADAR EDUCATIONAL SERVICES A NJ NONPROFIT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21 BROWNLEE PL UNIT 317
BASKING RIDGE NJ
07920-7024
US
IV. Provider business mailing address
21 BROWNLEE PL UNIT 317
BASKING RIDGE NJ
07920-7024
US
V. Phone/Fax
- Phone: 732-630-2590
- Fax:
- Phone: 732-630-2590
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0008X |
| Taxonomy | Pediatric Neurodevelopmental Disabilities Physician |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0005X |
| Taxonomy | Neurodevelopmental Disabilities Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
WAMBUI
N
GATHU
Title or Position: PRESIDENT
Credential:
Phone: 919-225-7920