NEWARK EXTENED CARE FACILITY INC NPI 1215115274

NPI Information

NPI: 1215115274
Provider Name: NEWARK EXTENED CARE FACILITY INC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
65 JAY ST
NEWARK, NJ
ZIP 07103
Phone: (973) 483-6800
Get Directions

NEWARK EXTENED CARE FACILITY INC is an adult day care clinic center in Newark, NJ. NEWARK EXTENED CARE FACILITY INC NPI is 1215115274. The provider is registered as an organization entity type.

The provider's business location address is:

65 JAY ST
NEWARK, NJ
ZIP 07103-235
Phone: (973) 483-6800
Fax: (973) 483-1841

The provider's authorized official is Elky Eisdorfer .
The authorized official title is Assistant Administrator and has the following contact phone number (973) 483-6800.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 2/1/2008.

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
1	261QA0600X	Clinic/Center	Adult Day Care	308335	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3749908	MEDICAID	NEW JERSEY

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »