Healthcare Provider Details

I. General information

NPI: 1346105749
Provider Name (Legal Business Name): DREAM DIR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 LAFAYETTE AVE
PASSAIC NJ
07055-4711
US

IV. Provider business mailing address

155 LAFAYETTE AVE
PASSAIC NJ
07055-4711
US

V. Phone/Fax

Practice location:
  • Phone: 929-245-8757
  • Fax:
Mailing address:
  • Phone:
  • 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: HINDA GINSBERG
Title or Position: BILLER
Credential:
Phone: 929-245-8757