Healthcare Provider Details

I. General information

NPI: 1164046892
Provider Name (Legal Business Name): ITS A NEW DAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 05/28/2020
Certification Date: 05/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 WALNUT DR
TENAFLY NJ
07670-2836
US

IV. Provider business mailing address

PO BOX 516
TENAFLY NJ
07670-0516
US

V. Phone/Fax

Practice location:
  • Phone: 201-723-1616
  • Fax: 201-568-8046
Mailing address:
  • Phone: 201-723-1616
  • Fax: 201-568-8046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: DEBRA A AUSLANDER
Title or Position: DIRECTOR
Credential: M.ED.,BCBA
Phone: 201-913-1144