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GOOD SHEPHERD DDD SERVICES LLC NPI 1568148179


NPI Information

NPI: 1568148179
Provider Name: GOOD SHEPHERD DDD SERVICES LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
725 VALLEY BROOK AVE
LYNDHURST, NJ
ZIP 07071
Phone: (201) 933-0711
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GOOD SHEPHERD DDD SERVICES LLC is a developmental disabilities clinic center in Lyndhurst, NJ. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). GOOD SHEPHERD DDD SERVICES LLC NPI is 1568148179. The provider is registered as an organization entity type.

The provider's business location address is:

725 VALLEY BROOK AVE
LYNDHURST, NJ
ZIP 07071-030
Phone: (201) 933-0711
Fax: (201) 933-0611

The provider's authorized official is Ragae W. Wassef .
The authorized official title is Manager/member and has the following contact phone number (973) 930-5687.

The enumeration date for this NPI number is 6/27/2023 and was last updated on 6/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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