AMBASSADOR MEDICAL DAY CARE NPI 1780710202

NPI Information

NPI: 1780710202
Provider Name: AMBASSADOR MEDICAL DAY CARE
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
619 RIVER AVENUE
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 367-1133
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AMBASSADOR MEDICAL DAY CARE is an adult day care clinic center in Lakewood, NJ. AMBASSADOR MEDICAL DAY CARE NPI is 1780710202. The provider is registered as an organization entity type.

The provider's business location address is:

619 RIVER AVENUE
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 367-1133
Fax: (732) 370-1087

The provider's authorized official is Aaron Stefansy .
The authorized official title is Controller and has the following contact phone number (732) 730-9280.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 8/22/2020.

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	080187	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	0111741	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

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