PPMD WEST BERLIN 1ST FLOOR NPI 1821496712

NPI Information

  • NPI: 1821496712
  • Provider Name: PPMD WEST BERLIN 1ST FLOOR
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Other Name: PROVIDENCE PEDIATRIC MEDICAL DAYCARE INC.
  • Address: 411 COMMERCE LN
    FIRST FLOOR
    WEST BERLIN, NJ
    ZIP 08091
  • Phone: (856) 753-7935

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NPI Details

PPMD WEST BERLIN 1ST FLOOR is an adult day care clinic center in West Berlin, NJ. PPMD WEST BERLIN 1ST FLOOR NPI is 1821496712. The provider is registered as an organization entity type.
The provider Other Name Is Providence Pediatric Medical Daycare Inc..

The provider's business location address is:

411 COMMERCE LN
FIRST FLOOR
WEST BERLIN, NJ
ZIP 08091-254
Phone: (856) 753-7935
Fax: (856) 753-7714

The provider's authorized official is Leeanna Roman-lozada .
The authorized official title is Precident / Ceo and has the following contact phone number (856) 753-7763.

The enumeration date for this NPI number is 12/9/2014 and was last updated on 12/9/2014.

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
1261QA0600XClinic/CenterAdult Day Care04012NEW JERSEYYes

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: 3/30/2025

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