AMATEUR ATHLETIC UNION OF THE UNITED STATES / SPECIAL DRAGONS A NJ NON (NPI# 1144845595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144845595 |
| Entity Type | Organization |
| Organization Name | AMATEUR ATHLETIC UNION OF THE UNITED STATES / SPECIAL DRAGONS A NJ NON |
| Practice Address |
242 Chestnut St Nutley NJ 07110-2329 |
| Mailing Address |
77 Tiona Ave Belleville NJ 07109-2235 |
| Practice Telephone | 9736678525 |
| Mailing Telephone | 9736678525 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | MR. GEORGE BOSTORY (FOUNDER) |
| Authorized Official Telephone | 9736678525 |
| Authorized Official Credential | MAT |
| 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 | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Special Dragons | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 139 Cator Ave, Jersey City, NJ 073052801 | 9736678525 | |
| 281 Chestnut St, Union, NJ 070839411 | 9736678525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592540 | Amateur Athletic Union of The United States / Special Dragons A Nj Non | Voluntary or Charitable | 139 Cator Ave, Jersey City, NJ 07305-2801 | 2020-06-16 |
| 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 |
| Street Address |
242 CHESTNUT ST |
| City | NUTLEY |
| State | NJ |
| Zip Code | 07110-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518583145 | Amateur Athletic Union of The United States / Special Dragons | Community/Behavioral Health | 242 Chestnut St, Nutley, NJ 07110-2329 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304984 | Nutley Vision LLC | Optometrist | 214 N Franklin Avenue, Nutley, NJ 07110 | 2019-09-06 |
| 1548762073 | Michal Milow Divney | Social Worker | 340 Kingsland St Bldg 123, Nutley, NJ 07110 | 2018-02-28 |
| 1144743162 | Erin Doyle Theodorou | Counselor | 29 Faber Pl, Nutley, NJ 07110 | 2017-07-21 |
| 1134642671 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Kingsland St, Nutley, NJ 07110 | 2017-07-17 |
| 1851811764 | Janet Joke Bamgbade | Social Worker | 21 River Road, Apt. J, Nutley, NJ 07110 | 2017-06-21 |
| 1588190656 | Nutley Vision | Eyewear Supplier (Equipment, not the service) | 214 Franklin Ave., Nutley, NJ 07110 | 2017-05-10 |
| 1043662596 | Angela Furnari-romano | Social Worker | 596 Franklin Ave, Nutley, NJ 07110 | 2016-07-08 |
| 1659720381 | Nutley Adult Day Care Inc | Clinic/Center | 357-361 Harrison St, 1st Floor, Nutley, NJ 07110 | 2016-06-03 |
| 1881055937 | Roman Rubin | Community/Behavioral Health | 263 Hillside Address, 5, Nutley, NJ 07110 | 2016-03-17 |
| 1275937922 | Victoria L Beckerman | Social Worker | 405 Centre St, Nutley, NJ 07110 | 2014-10-09 |
| Find all providers in zip 07110 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.