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Contact Information

RESTORATIVE THERAPY CENTER OF NEW JERSEY
111 TOWN SQUARE PLACE
SUITE 1201 1036
JERSEY CITY, NJ07310
 Phone: 201-897-2250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RESTORATIVE THERAPY CENTER OF NEW JERSEY

NPI # 1174477038
LBN Legal business name RESTORATIVE THERAPY CENTER OF NEW JERSEY
Authorized official MEGAN DERISO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2026
Last updated 02/25/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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