Healthcare Provider Details

I. General information

NPI: 1396073755
Provider Name (Legal Business Name): HORIZON PEDIATRIC CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2009
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 S. MAPLE AVENUE
BASKING RIDGE NJ
07920
US

IV. Provider business mailing address

256 S. MAPLE AVENUE
BASKING RIDGE NJ
07920
US

V. Phone/Fax

Practice location:
  • Phone: 973-731-8588
  • Fax: 973-731-8520
Mailing address:
  • Phone: 973-731-8588
  • Fax: 973-731-8520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41YS00259000
License Number StateNJ

VIII. Authorized Official

Name: SHERI ANNE MARINO
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential: MA, CCC-SLP
Phone: 973-731-8588