Healthcare Provider Details

I. General information

NPI: 1740849793
Provider Name (Legal Business Name): POPS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 POMPTON AVE REAR
VERONA NJ
07044-2946
US

IV. Provider business mailing address

340 MAIN AVE
CLIFTON NJ
07014-1328
US

V. Phone/Fax

Practice location:
  • Phone: 973-931-2731
  • Fax:
Mailing address:
  • Phone: 973-931-2731
  • Fax: 551-400-9252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. DINAH LEITER
Title or Position: PRESIDENT
Credential: OTR
Phone: 973-931-2731