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1801753033 NPI number — IVY THERAPY CENTER LLC DBA ARYA THERAPY CENTER OF NEW JERSEY

NPI Number: 1801753033
Health Care Provider/Practitioner: IVY THERAPY CENTER LLC DBA ARYA THERAPY CENTER OF NEW JERSEY

Information about “1801753033” NPI (IVY THERAPY CENTER LLC DBA ARYA THERAPY CENTER OF NEW JERSEY) exists in 1801753033 in HTML format HTML  |  1801753033 in plain Text format TXT  |  1801753033 in PDF (Portable Document Format) PDF  |  1801753033 in an XML format XML  formats.

NPI Number : 1801753033 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801753033",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "IVY THERAPY CENTER LLC DBA ARYA THERAPY CENTER OF NEW JERSEY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4390 ROUTE 1 STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRINCETON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08540-5747",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-245-6480",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4390 ROUTE 1 STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PRINCETON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08540-5747",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-245-6480",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/08/2026",
    "LastUpdateDate": "01/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SIMONELLI",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "781-654-1112",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0850X",
        "TaxonomyName": "Adult Mental Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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