DARRELL PETER SHOULARS M.A. M.A. NPI 1609422393

NPI Information

  • NPI: 1609422393
  • Provider Name: DARRELL PETER SHOULARS, M.A., M.A.
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Individual
  • Address: 10 N END TER
    NEWARK, NJ
    ZIP 07104
  • Phone: (862) 704-3524

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NPI Details

Darrell Peter Shoulars, M.A., M.A. is a developmental disabilities clinic center in Newark, 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.). Darrell Peter Shoulars, M.A., M.A. NPI is 1609422393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10 N END TER
NEWARK, NJ
ZIP 07104-404
Phone: (862) 704-3524

The enumeration date for this NPI number is 8/17/2019 and was last updated on 8/17/2019.

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 Disabilities778909NEW JERSEYYes

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: 3/30/2025

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