Healthcare Provider Details

I. General information

NPI: 1851166425
Provider Name (Legal Business Name): DPNJ AUTISM SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FOREST AVENUE STE 200
PARAMUS NJ
07652
US

IV. Provider business mailing address

10 FOREST AVENUE STE 200
PARAMUS NJ
07652-5238
US

V. Phone/Fax

Practice location:
  • Phone: 201-503-6334
  • Fax: 201-734-6320
Mailing address:
  • Phone: 201-503-6334
  • Fax: 201-734-6320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. LUNA PAUL
Title or Position: CO-FOUNDER
Credential:
Phone: 201-503-6334