Organization
Personalized Potential Center
Provider's NPPES record last updated: November 29, 2017
Overview
- Entity Type
- Organization
- NPI
- 1093229064
- Primary Specialty
- Clinic/Center — Developmental Disabilities
- Practice Location
- Elmwood Park, New Jersey
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 7:24 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinic/Center
Developmental Disabilities
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Taxonomy code 261QD1600X Day Training, Developmentally Disabled Services
Agencies
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Taxonomy code 251C00000XCommunity/Behavioral Health
Agencies
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Taxonomy code 251S00000XClinic/Center
Adult Day Care
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QA0600XClinic/Center
Hearing and Speech
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
Taxonomy code 261QH0700XClinic/Center
Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QM0801XClinic/Center
Multi-Specialty
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QM1300XClinic/Center
Physical Therapy
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Taxonomy code 261QP2000XClinic/Center
Rehabilitation
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QR0400XClinic/Center
Occupational Medicine
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QX0100XPreferred Provider Organization
Managed Care Organizations
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Taxonomy code 305R00000XPoint of Service
Managed Care Organizations
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Taxonomy code 305S00000XNon-Pharmacy Dispensing Site
Suppliers
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Taxonomy code 332900000XPrivate Vehicle
Transportation Services
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Taxonomy code 347C00000XRespite Care
Respite Care Facility
Definition to come.
Taxonomy code 385H00000X
Practice Locations
Practice Location
20 Roosevelt Ave
Elmwood Park, New Jersey 07407-1031
Phone: (201) 956-0039
Record Information
- Enumeration Date
- November 28, 2017
- Provider's NPPES Record Last Updated
- November 29, 2017
- NPISignal NPPES Dataset
- August 2026
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