AMATEUR ATHLETIC UNION OF THE UNITED STATES / SPECIAL DRAGONS A NJ NON (NPI# 1619592540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619592540 |
| Entity Type | Organization |
| Organization Name | AMATEUR ATHLETIC UNION OF THE UNITED STATES / SPECIAL DRAGONS A NJ NON |
| Practice Address |
139 Cator Ave Jersey City NJ 07305-2801 |
| Mailing Address |
77 Tiona Ave Belleville NJ 07109-2235 |
| Practice Telephone | 9736678525 |
| Mailing Telephone | 9736678525 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | MR. GEORGE BOSTORY (PRES/FOUNDER) |
| Authorized Official Telephone | 9736678525 |
| Authorized Official Credential | MAT SPECIAL EDUC |
| Is Organization Subpart | Y |
| Parent Organization Name | AMATEUR ATHLETIC UNION OF THE UNITED STATES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Special Dragons | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603657 | Amateur Athletic Union of The United States / Special Dragons A Nj Non | Day Training, Developmentally Disabled Services | 281 Chestnut St, Union, NJ 07083-9411 | 2020-06-16 |
| 1144845595 | Amateur Athletic Union of The United States / Special Dragons A Nj Non | Day Training, Developmentally Disabled Services | 242 Chestnut St, Nutley, NJ 07110-2329 | 2020-06-11 |
| Street Address |
139 CATOR AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07305-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584358 | Lloyd Maquiling | Physical Therapist | 198 Old Bergen Rd #2622, Jersey City, NJ 07305 | 2020-06-27 |
| 1487293932 | Acj Consultants, Inc. | Counselor | 1600 Kennedy Blvd, Jersey City, NJ 07305 | 2020-01-02 |
| 1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
| 1538669759 | Marie Day | Home Health Aide | 1709 Kennedy Boulevard, Jersey City, NJ 07305 | 2018-02-14 |
| 1881100162 | Heather Primus | Assistant Behavior Analyst | 120 Seaview Avenue, Ground Floor, Jersey City, NJ 07305 | 2017-12-21 |
| 1932642816 | Reem H Salem | Physical Therapist | 2120 John F Kennedy Blvd, Jersey City, NJ 07305 | 2016-11-28 |
| 1629449020 | Anjanie Persaud | Pharmacist | 260 Armstrong Ave, Jersey City, NJ 07305 | 2015-10-12 |
| 1518334440 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 321 State Rt 440, Jersey City, NJ 07305 | 2015-08-26 |
| 1306212832 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9-11 Kensington Avenue, Jersey City, NJ 07305 | 2015-08-19 |
| 1144628397 | Martin Rodriguez | Counselor | 110 Martin Luther Drive, Jersey City, NJ 07305 | 2014-12-19 |
| Find all providers in zip 07305 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568700623 | Claire Wilson | Recreation Therapist | 377 Jersey Ave, Jersey City, NJ 07302-4393 | 2013-01-24 |
| 1386982445 | Alethia Maureen Harris | Recreation Therapist | 377 Jersey Ave, Jersey City, NJ 07302-4393 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140735 | Melissa Hanna | Recreation Therapist | 92 Golf View Dr, Dumont, NJ 07628-1015 | 2020-06-30 |
| 1366931891 | Roseanna Perez | Recreation Therapist | 14m Reading Rd., Edison, NJ 08817 | 2018-05-10 |
| 1134639479 | Tier 1 Fitness | Recreation Therapist | 5921 Westfield Ave, Pennsauken, NJ 08110-1841 | 2017-09-30 |
| 1871014126 | Irit Esther Malinsky I | Recreation Therapist | 111 Marion Ave, Westfield, NJ 07090-4433 | 2017-06-27 |
| 1780059196 | Xavier Munden | Recreation Therapist | 380 Mount Prospect Ave Apt 8c, Newark, NJ 07104-2141 | 2015-12-10 |
| 1699147520 | Ross Yellin | Recreation Therapist | 19 Gloucester Ct, East Brunswick, NJ 08816-3319 | 2015-10-30 |
| 1861831513 | Tammy C. Taylor | Recreation Therapist | 1298 State St, Hillside, NJ 07205-2320 | 2013-06-17 |
| 1437451580 | Rodney O. Smith | Recreation Therapist | 556 Warren St, Phillipsburg, NJ 08865-3231 | 2010-11-23 |
| 1639470057 | William A Carri | Recreation Therapist | 171 S Orange Ave, South Orange, NJ 07079-2268 | 2010-11-17 |
| 1083915631 | Kristina Marie Jeffrey | Recreation Therapist | 242 Raritan Blvd, Keyport, NJ 07735-6012 | 2010-11-14 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY CITY |
| Zip Code | 07305 |
Please comment or provide details below to improve the information on AMATEUR ATHLETIC UNION OF THE UNITED STATES / SPECIAL DRAGONS A NJ NON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.