PPMD WEST BERLIN 1ST FLOOR (NPI# 1821496712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821496712 |
Entity Type | Organization |
Organization Name | PPMD WEST BERLIN 1ST FLOOR |
Other Organization Name | PROVIDENCE PEDIATRIC MEDICAL DAYCARE INC. |
Practice Address |
411 Commerce Ln First Floor West Berlin NJ 08091-9254 |
Mailing Address |
411 Commerce Ln West Berlin NJ 08091-9254 |
Practice Telephone | 8567537935 |
Practice Fax Number | 8567537714 |
Mailing Telephone | 8567537763 |
Mailing Fax Number | 8567537714 |
Enumeration Date | 2014-12-09 |
Last Update Date | 2014-12-09 |
Authorized Official Name | MRS. LEEANNA ROMAN-LOZADA (PRECIDENT / CEO) |
Authorized Official Telephone | 8567537763 |
Is Organization Subpart | Y |
Parent Organization Name | PROVIDENCE PEDIATRIC MEDICAL DAYCARE INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
04012 | NJ | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Providence Pediatric Medical DayCare Inc. | Other Name - Individual/Organization |
Street Address |
411 COMMERCE LN FIRST FLOOR |
City | WEST BERLIN |
State | NJ |
Zip Code | 08091-9254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427353127 | Amalia Kramvis | Dietitian, Registered | 411 Commerce Ln, West Berlin, NJ 08091-9254 | 2011-01-11 |
1629326806 | Thomas Richard Kinder | Social Worker | 411 Commerce Ln, West Berlin, NJ 08091-9254 | 2012-08-20 |
1033473939 | Connected Care Limited Liability | General Practice | 411 Commerce Ln, West Berlin, NJ 08091-9254 | 2012-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496179 | Daniel Deitz | Physical Therapist | 115 Nj-73, #80, West Berlin, NJ 08091 | 2020-10-27 |
1497393094 | Corinne Leigh Rieser | Physician Assistant | 301 Route 73 North, West Berlin, NJ 08091 | 2019-12-13 |
1174184584 | Carlotta Barbon | Student in an Organized Health Care Education/Training Program | Raemistrasse 100, Zuerich, SWITZERLAND 08091 | 2019-06-26 |
1760865976 | Sarah Beggs | Dermatology | 301 Route 73 N, West Berlin, NJ 08091 | 2015-07-07 |
1780873083 | Pro-fit LLC | Prosthetic/Orthotic Supplier | 215 Edgewood Ave, West Berlin, NJ 08091 | 2007-10-23 |
1699809384 | Daybreak Treatment Care, LLC | Clinic/Center | 258-68 Pinedge Dr., West Berlin, NJ 08091 | 2007-03-15 |
1538243936 | Wal-mart Stores East, Lp | Technician/Technologist | 265 North Route 73, Berlin, NJ 08091 | 2006-10-24 |
1457452229 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 200 Route 73 North, Suite 16, West Berlin, NJ 08091 | 2006-09-26 |
1326018805 | Mary Jeanne Spinosi | Family Medicine | 301 N Route 73, West Berlin, NJ 08091 | 2006-01-25 |
1578920260 | Edward A Tanski Jr. | Dentist | 162 Haddon Ave, West Berlin, NJ 08091 | 2016-01-26 |
Find all providers in zip 08091 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831798305 | South Brunswick Adc LLC | Clinic/Center | 2000 Cornwall Rd Ste 500, Monmouth Junction, NJ 08852-2444 | 2020-10-25 |
1164042230 | Necessary Resources, LLC | Clinic/Center | 130 Us Highway 22 E Fl 1, North Plainfield, NJ 07060-3806 | 2020-04-19 |
1609407212 | Archangel Michael Coptic Orthodox Church | Clinic/Center | 7 Church Rd, Howell, NJ 07731-2402 | 2020-02-01 |
1932749835 | Helping Hands Healthcare Inc. | Clinic/Center | Helpinghands Healthcare Inc., 219 Black-horse Lane, North Brunswick, NJ 08902 | 2020-01-09 |
1841832482 | Perfecting Life Community Center | Clinic/Center | 183 Belmont Ave, Haledon, NJ 07508-1477 | 2019-10-15 |
1083255012 | Param Healthcare & It Services, Inc | Clinic/Center | 750 Bloomfield Ave, Clifton, NJ 07012-1257 | 2019-10-01 |
1699329094 | Prestigious Adult Day Care, Inc. | Clinic/Center | 7 Broad Ave Ste 301, Palisades Park, NJ 07650-1886 | 2019-07-25 |
1932768991 | Broad Amdc Inc. | Clinic/Center | 248 Broad Ave Fl 2, Palisades Park, NJ 07650-1552 | 2019-06-12 |
1831651082 | Nand Ghanshyam | Clinic/Center | 347 Elizabeth Ave, Somerset, NJ 08873-1123 | 2019-04-04 |
1497217939 | Care Forever Adult Day Care Center LLC | Clinic/Center | 7 Progress St, Edison, NJ 08820-1102 | 2019-04-03 |
Find all providers with the same taxonomy |
City | WEST BERLIN |
Zip Code | 08091 |
Please comment or provide details below to improve the information on PPMD WEST BERLIN 1ST FLOOR.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.