Healthcare Provider Details

I. General information

NPI: 1942131834
Provider Name (Legal Business Name): KINFOLK NJ ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MATAWAN RD STE 325
MATAWAN NJ
07747-3590
US

IV. Provider business mailing address

100 MATAWAN RD STE 325
MATAWAN NJ
07747-3590
US

V. Phone/Fax

Practice location:
  • Phone: 980-249-4010
  • Fax: 980-249-4011
Mailing address:
  • Phone: 980-249-4010
  • Fax: 980-249-4011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ZISHE RUBIN
Title or Position: CEO
Credential:
Phone: 917-246-8382