Healthcare Provider Details

I. General information

NPI: 1275453441
Provider Name (Legal Business Name): SAAG NEWARK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 HALSEY STREET
NEWARK NJ
07102
US

IV. Provider business mailing address

340 BLACK MEADOW RD
CHESTER NY
10918-2227
US

V. Phone/Fax

Practice location:
  • Phone: 973-462-8925
  • Fax:
Mailing address:
  • Phone: 973-462-8925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. RUBEN GOMEZ
Title or Position: SECRETARY/CO-PARTNERS
Credential:
Phone: 973-462-8925