Active NPIOrganization

Providence Pediatric Medical Daycare, INC.

Clinic/Center, Medically Fragile Infants and Children Day Care in Atlantic City, New Jersey

NPI Number1720247091
Practice location
35 S Annapolis Ave, Atlantic City, NJ 08401-5927
Fax
609-345-3021
Last updated
June 3, 2008

Providence Pediatric Medical Daycare, INC. is a healthcare organization based in Atlantic City, NJ. Providence Pediatric Medical Daycare, INC. practices in Atlantic City, NJ. The NPI Number for Providence Pediatric Medical Daycare, INC. is 1720247091 and holds a License No. 018200 (NJ). The current practice location address for Providence Pediatric Medical Daycare, INC. is 35 S Annapolis Ave, Atlantic City, NJ 08401-5927 and can be reached out via phone at 609-345-2340 and via fax at 609-345-3021.

Provider Profile Details

NPI Number
1720247091
Provider Name
Providence Pediatric Medical Daycare, INC.
Provider Entity Type
Organization
Address
35 S Annapolis Ave, Atlantic City, NJ 08401-5927
Phone Number
609-345-2340
Fax Number
609-345-3021
Organization Subpart
No
Authorized Official
Ms. Leeanna Roman · President · 856-753-7763
Provider Enumeration Date
June 3, 2008
Last Update Date
June 3, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 S Annapolis Ave
Atlantic City, NJ 08401-5927
Zip
08401-5927
Phone Number
609-345-2340
Fax Number
609-345-3021
Atlantic City, NJ 08401Get directions →

Provider Business Mailing Address Details

Address
411 Commerce Ln
West Berlin, NJ 08091-9254
City
West Berlin
State
NJ
Zip
08091-9254
Phone Number
856-753-7763
Fax Number
856-753-7714

License Information

License Number
018200
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Providence Pediatric Medical Daycare, INC.?

The NPI number of Providence Pediatric Medical Daycare, INC. is 1720247091. It was assigned on June 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Providence Pediatric Medical Daycare, INC.?

Providence Pediatric Medical Daycare, INC. is registered under the primary taxonomy Clinic/Center, Medically Fragile Infants and Children Day Care (code 261QM3000X), licensed in NJ under license number 018200.

Where does Providence Pediatric Medical Daycare, INC. practice?

The practice location is 35 S Annapolis Ave, Atlantic City, NJ 08401-5927. The office can be reached at 609-345-2340 (phone) or 609-345-3021 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720247091 directly on the NPPES registry website.

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