SPECIALIZED THERAPY ASSOCIATES LLC
NPI 1417293101
Nurse Practitioner in Hackensack, NJ

Active since December 27, 2012
83 SUMMIT AVE, 2 ND FLOOR, HACKENSACK, NJ 07601(201) 488-6678(201) 342-4346 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Specialized Therapy Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECIALIZED THERAPY ASSOCIATES LLC (NPI 1417293101) is a healthcare organization registered as a nurse practitioner in Hackensack, New Jersey and active in the NPI registry since December 2012. The organization lists Vanessa Gourdine, Director, as its authorized official.

NPPES Registry Identity

NPI1417293101
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSPECIALIZED THERAPY ASSOCIATES LLC
Location Address83 SUMMIT AVE, 2 ND FLOORHackensack, NJ 07601-1262
Mailing AddressPo Box 3016South Hackensack, NJ 07606-1016 · (201) 488-6678 · Fax (201) 342-4346
Fax(201) 342-4346
Organization SubpartYes
Authorized OfficialVanessa GourdineDirector · (201) 488-6678
Enumeration DateDecember 27, 2012
NPI 1417293101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

83 SUMMIT AVE, Hackensack, NJ 07601

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
83 SUMMIT AVE
HACKENSACK, NJ 07601
Surgery
83 SUMMIT AVE
HACKENSACK, NJ 07601
Surgery (Vascular Surgery)
83 SUMMIT AVE
HACKENSACK, NJ 07601
Surgery
83 SUMMIT AVE
HACKENSACK, NJ 07601
Counselor (Mental Health)
83 SUMMIT AVE
HACKENSACK, NJ 07601
Social Worker (Clinical)
83 SUMMIT AVE
HACKENSACK, NJ 07601
Internal Medicine (Cardiovascular Disease)
83 SUMMIT AVE, REAR SUITE
HACKENSACK, NJ 07601
Psychologist
83 SUMMIT AVE
HACKENSACK, NJ 07601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialized Therapy Associates LLC's NPI number?

The NPI number for Specialized Therapy Associates LLC is 1417293101. It was assigned to this organization in the NPPES registry on December 27, 2012.

Where is Specialized Therapy Associates LLC located?

Specialized Therapy Associates LLC is located at 83 Summit Ave 2 Nd Floor, Hackensack, NJ 07601. The listed phone number is (201) 488-6678.

What is Specialized Therapy Associates LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Specialized Therapy Associates LLC was last updated on December 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.