OrganizationActive
Personalized Potential Center
NPI 1093229064 · Developmental Disabilities Clinic/Center · Elmwood Park, NJ
Provider details
- NPI number
- 1093229064
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Megan Pioch, Chief Operating Officer(201) 956-0039
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
- Hearing and Speech Clinic/Center261QH0700X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
20 Roosevelt Ave
Elmwood Park, NJ 07407-1031
Phone: (201) 956-0039
Approximate (ZIP-level) locationGet directions
Mailing address
20 Roosevelt Ave
Elmwood Park, NJ 07407-1031
Registry dates
- Enumerated
- 2017-11-28
- Last updated
- 2017-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.