Healthcare Provider Details

I. General information

NPI: 1356259774
Provider Name (Legal Business Name): BLUE ABA NEW JERSEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 JFK PKWY
SHORT HILLS NJ
07078-2704
US

IV. Provider business mailing address

51 JFK PKWY
SHORT HILLS NJ
07078-2704
US

V. Phone/Fax

Practice location:
  • Phone: 201-377-3120
  • Fax: 623-748-1919
Mailing address:
  • Phone: 201-377-3120
  • Fax: 623-748-1919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GERSHON FINK
Title or Position: CEO OWNER
Credential: DO
Phone: 786-521-1587