Organization Active NPI

Sewell Senior Citizen Center

  • Preferred Provider Organization
  • Sewell, NJ
National Provider Identifier
1013372457
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
SEWELL SENIOR CITIZEN CENTER
Practice address
475 Hurstville Cross Keys Rd
Suite a&B
Sewell, NJ 08080
Phone
(732) 284-6020
Fax
(267) 878-0160
NPI assigned
Dec 30, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashish Desai
Title
Member
Phone
(732) 284-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NJ Primary

Addresses

Primary practice location

475 Hurstville Cross Keys Rd
Suite a&B
Sewell, NJ 08080

Mailing address

2 Raleigh Way
Freehold, NJ 07728-7906
Phone (732) 284-6020

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013372457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RALEIGH WAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287906",
            "telephone_number": "732-284-6020",
            "fax_number": "267-878-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HURSTVILLE CROSS KEYS RD",
            "address_2": "SUITE A&B",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "732-284-6020",
            "fax_number": "267-878-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWELL SENIOR CITIZEN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-284-6020"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.