Healthcare Provider Details

I. General information

NPI: 1164345500
Provider Name (Legal Business Name): SHMUEL ORGEL BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 WINTHROP RD
UNION NJ
07083-8866
US

IV. Provider business mailing address

522 WINTHROP RD
UNION NJ
07083-8866
US

V. Phone/Fax

Practice location:
  • Phone: 631-438-1825
  • Fax:
Mailing address:
  • Phone: 631-438-1825
  • 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:
Title or Position:
Credential:
Phone: