Personalized Potential Center
Clinic/Center, Developmental Disabilities in Elmwood Park, New Jersey
1093229064- Practice location
- 20 Roosevelt Ave, Elmwood Park, NJ 07407-1031
- Phone
- 201-956-0039
- Fax
- —
- Last updated
- November 29, 2017
Personalized Potential Center is a healthcare organization based in Elmwood Park, NJ. Personalized Potential Center practices in Elmwood Park, NJ. The NPI Number for Personalized Potential Center is 1093229064. The current practice location address for Personalized Potential Center is 20 Roosevelt Ave, Elmwood Park, NJ 07407-1031 and can be reached out via phone at 201-956-0039.
Provider Profile Details
- NPI Number
- 1093229064
- Provider Name
- Personalized Potential Center
- Provider Entity Type
- Organization
- Address
- 20 Roosevelt Ave, Elmwood Park, NJ 07407-1031
- Phone Number
- 201-956-0039
- Primary Taxonomy
- Clinic/Center, Developmental Disabilities · 261QD1600X
- Organization Subpart
- No
- Authorized Official
- Megan Pioch · Chief Operating Officer · 201-956-0039
- Provider Enumeration Date
- November 28, 2017
- Last Update Date
- November 29, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Roosevelt Ave
Elmwood Park, NJ 07407-1031 - City
- Elmwood Park
- State
- New Jersey
- Zip
- 07407-1031
- Phone Number
- 201-956-0039
Provider Business Mailing Address Details
- Address
- 20 Roosevelt Ave
Elmwood Park, NJ 07407-1031 - City
- Elmwood Park
- State
- NJ
- Zip
- 07407-1031
- Phone Number
- 201-956-0039
License Information
- Taxonomy (1)
- Day Training, Developmentally Disabled Services · 251C00000X
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X
- Taxonomy (3)
- Clinic/Center, Adult Day Care · 261QA0600X
- Taxonomy (4)
- Clinic/Center, Hearing and Speech · 261QH0700X
- Taxonomy (5)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (6)
- Clinic/Center, Multi-Specialty · 261QM1300X
- Taxonomy (7)
- Clinic/Center, Physical Therapy · 261QP2000X
- Taxonomy (8)
- Clinic/Center, Rehabilitation · 261QR0400X
- Taxonomy (9)
- Clinic/Center, Occupational Medicine · 261QX0100X
- Taxonomy (10)
- Preferred Provider Organization · 305R00000X
- Taxonomy (11)
- Point of Service · 305S00000X
- Taxonomy (12)
- Non-Pharmacy Dispensing Site · 332900000X
- Taxonomy (13)
- Private Vehicle · 347C00000X
- Taxonomy (14)
- Respite Care · 385H00000X
- Taxonomy (15)
- Clinic/Center, Developmental Disabilities · 261QD1600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Developmental Disabilities providers near Elmwood Park, NJ
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Frequently Asked Questions
What is the NPI number of Personalized Potential Center?
The NPI number of Personalized Potential Center is 1093229064. It was assigned on November 28, 2017 and is currently active in the NPPES registry.
What is the specialty of Personalized Potential Center?
Personalized Potential Center is registered under the primary taxonomy Clinic/Center, Developmental Disabilities (code 261QD1600X).
Where does Personalized Potential Center practice?
The practice location is 20 Roosevelt Ave, Elmwood Park, NJ 07407-1031. The office can be reached at 201-956-0039 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093229064 directly on the NPPES registry website.