Healthcare Provider Details

I. General information

NPI: 1386234896
Provider Name (Legal Business Name): DOOR 2 DOOR THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 SCHEPIS AVE
SADDLE BROOK NJ
07663-4918
US

IV. Provider business mailing address

180 SCHEPIS AVE
SADDLE BROOK NJ
07663-4918
US

V. Phone/Fax

Practice location:
  • Phone: 732-484-7426
  • Fax: 732-985-4447
Mailing address:
  • Phone: 732-484-7426
  • Fax: 732-985-4447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SUZETTE M FAGAN
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 732-284-3889