MR. JACK ERNEST SOLOMON NPI 1659532984

NPI Information

  • NPI: 1659532984
  • Provider Name: MR. JACK ERNEST SOLOMON
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 595 PLEASANT VALLEY WAY
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 324-9665

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NPI Details

MR. Jack Ernest Solomon is a recreation therapist in West Orange, NJ. The provider is 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. MR. Jack Ernest Solomon NPI is 1659532984. 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:

595 PLEASANT VALLEY WAY
WEST ORANGE, NJ
ZIP 07052-806
Phone: (973) 324-9665

The enumeration date for this NPI number is 6/19/2008 and was last updated on 6/19/2008.

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
1225800000XRecreation TherapistYes

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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