JDK SOCIAL STATION, LLC (NPI# 1922467927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922467927 |
| Entity Type | Organization |
| Organization Name | JDK SOCIAL STATION, LLC |
| Practice Address |
760 Post Pl Secaucus NJ 07094-3241 |
| Mailing Address |
36 Oak St Hillsdale NJ 07642-2622 |
| Practice Telephone | 2017398079 |
| Mailing Telephone | 2017398079 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | KIRSTEN RAFFEL (CO OWNER) |
| Authorized Official Telephone | 2017398079 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Street Address |
760 POST PL |
| City | SECAUCUS |
| State | NJ |
| Zip Code | 07094-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| 1639625916 | Monika Patel | Dentist | 87 Huber St, Secacus, NJ 07094 | 2016-08-28 |
| 1366830820 | Morgan & Associates | Allergy & Immunology | 400 Park Place, Secaucus, NJ 07094 | 2015-01-06 |
| 1619267697 | Maria Lourdes D. Aguilera | Clinic/Center | 5301 Broadway Avenue, West New York, NJ 07094 | 2011-04-12 |
| 1154626117 | Robert W. Boyajian, Md, Pa | Internal Medicine | 255 Route 3 East Suite 203, Secaucus, NJ 07094 | 2011-01-21 |
| 1902071731 | Joseph D. Scalia | Surgery | 714-10th Street, Secaucus, NJ 07094 | 2008-04-23 |
| 1477764884 | Atlantis Health and Wellness PC | Chiropractor | 600 Plaza Dr, Harmon Meadow Plaza, Secaucus, NJ 07094 | 2007-05-25 |
| 1265558589 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 30 Seaview Drive, Secaucus, NJ 07094 | 2007-03-21 |
| 1699899666 | Armando Ivan Martinez | Orthopaedic Surgery | 405 County Avenue, Secaucus, NJ 07094 | 2007-03-16 |
| 1457498768 | Nimer M Iskandarani | Psychiatry & Neurology | 255 Rt 3 East, Suite 209, Secaucus, NJ 07094 | 2007-01-30 |
| Find all providers in zip 07094 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200065 | Specialized Quality Care LLC | Respite Care | 76 Elderberry Ln, Willingboro, NJ 08046-2418 | 2020-03-18 |
| 1558827147 | Altruistic Visions A Nj Nonprofit Corporation | Respite Care | 665 Springdale Ave, East Orange, NJ 07017-1610 | 2019-02-19 |
| 1487138715 | Joyce Omoro | Respite Care | 1327 Liberty Ave, Union, NJ 07083-4129 | 2018-09-22 |
| 1326527920 | Kelli Sue Portland | Respite Care | 5 N Ridge Ct, Milford, NJ 08848-1654 | 2018-08-14 |
| 1134626591 | Laura Fonville | Respite Care | 218 Pine Ave, Egg Harbor Township, NJ 08234-5339 | 2018-04-11 |
| 1568967073 | Educational Partnership for Inclusive Communities Inc | Respite Care | 135 Geering Ter, Paramus, NJ 07652-4416 | 2018-03-27 |
| 1073022455 | Creative Healthcare Services Corporation | Respite Care | 600 Route 168, Turnersville, NJ 08012-1495 | 2017-09-28 |
| 1831617026 | Broadway Respite and Home Care, LLC | Respite Care | 1007 Livingston Ave, North Brunswick, NJ 08902 | 2017-09-07 |
| 1891229142 | Arc of Essex County | Respite Care | 123 Naylon Avenue, Livingston, NJ 07419 | 2017-04-13 |
| 1467993246 | Sia Kendema | Respite Care | 102 Paine Avenue, Irvington, NJ 07111 | 2017-03-14 |
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| 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.