SENSORY TAEKWONDO OF WALDWICK (NPI# 1760916340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760916340 |
| Entity Type | Organization |
| Organization Name | SENSORY TAEKWONDO OF WALDWICK |
| Practice Address |
140 Hopper Ave Waldwick NJ 07463 |
| Practice Telephone | 2013994124 |
| Mailing Telephone | 2013994124 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | DR. KERRY JOSEPH ESCAMILLA (ZOWNER) |
| Authorized Official Telephone | 2018951496 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 221700000X | Art Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
140 HOPPER AVE |
| City | WALDWICK |
| State | NJ |
| Zip Code | 07463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104384460 | Life Opportunities Unlimited | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Cleveland Ave, Waldwick, NJ 07463 | 2019-03-06 |
| 1285105403 | Kristen Marie Forman | Social Worker | The Koch Center, P.C., 71 Franklin Tpke, Ste. 8, Waldwick, NJ 07463 | 2018-12-16 |
| 1083123970 | Emily Navarro | Dietitian, Registered | 26 Cleveland Ave, Waldwick, NJ 07463 | 2017-09-24 |
| 1205291176 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Wyckoff Avenue, Waldwick, NJ 07463 | 2015-12-21 |
| 1225456593 | Mina Hanna | Podiatrist | 171 Franklin Tpke Ste 200, Waldwick, NJ 07463 | 2014-04-02 |
| 1811282569 | Marion Elaine Troise | Massage Therapist | 3-4 Vernon Ct., Waldwick, NJ 07463 | 2011-06-10 |
| 1154595197 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 136 Hopper Ave., Waldwick, NJ 07463 | 2008-04-22 |
| 1326223777 | Raymond M Younghans | Physical Therapist | 136 Hopper Avenue, Waldwick, NJ 07463 | 2008-01-04 |
| 1841412228 | Armi Aura D Hernandez | Physical Therapist | 171 North Franklin Tpke., Waldwick, NJ 07463 | 2007-05-03 |
| 1720102239 | Diane Stark Suda | Social Worker | 10 Franklin Turnpike, Second Floor, Waldwick, NJ 07463 | 2007-03-19 |
| Find all providers in zip 07463 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710435607 | Jesse Suess | Chiropractor | 22 Wyckoff Ave Ste 1, Waldwick, NJ 07463-1718 | 2016-09-20 |
| 1972917920 | Kyle O'connell | Chiropractor | 61 Crescent Ave Ste B, Waldwick, NJ 07463-1400 | 2014-06-18 |
| 1184869513 | Gary L Sherman | Chiropractor | 24 Wyckoff Ave, Suite 2, Waldwick, NJ 07463-1758 | 2008-12-15 |
| 1386785988 | David M Jacobs | Chiropractor | 22 Wyckoff Ave, Waldwick, NJ 07463-1718 | 2007-02-08 |
| 1669538120 | Kenneth Harris | Chiropractor | 51 E Prospect St, Waldwick, NJ 07463-2237 | 2006-12-29 |
| 1538252101 | Dale Annette Fairchild | Chiropractor | 93 Franklin Turnpike, Waldwick, NJ 07463 | 2006-10-02 |
| 1598860223 | Stephen A. Jones | Chiropractor | 18 Wyckoff Avenue, Suite 201, Waldwick, NJ 07463 | 2006-09-14 |
| 1194737445 | Alfred Gigante | Chiropractor | 83 Franklin Tpke, Waldwick, NJ 07463-1820 | 2006-08-13 |
| 1679089007 | Cory O'connell | Chiropractor | 61 Crescent Ave Ste B, Waldwick, NJ 07463-1400 | 2017-12-21 |
| 1326567330 | Suess Family Chiropractic LLC | Chiropractor | 22 Wyckoff Ave Ste 1, Waldwick, NJ 07463-1718 | 2017-09-12 |
| Find all providers in WALDWICK | ||||
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| 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.