Organization Active NPI

Shahnawaz Adult Care

  • Adult Day Care Clinic/Center
  • Edison, NJ
National Provider Identifier
1023481983
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SHAHNAWAZ ADULT CARE
Practice address
36 Meridian Rd
Edison, NJ 08820-2823
Phone
(732) 662-1200
Fax
(732) 662-1205
NPI assigned
Nov 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Pankaj Bhatt
Title
Administrator
Phone
(732) 662-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

36 Meridian Rd
Edison, NJ 08820-2823

Mailing address

36 Meridian Rd
Edison, NJ 08820-2823
Phone (732) 662-1200

Other names 1

  • LIFELINE ADULT DAY CARE Doing business as

National Provider Directory

National Provider Directory

Locations

159 Jackson Ave
Edison, NJ 08837

NPI Registry JSON

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1023481983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MERIDIAN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202823",
            "telephone_number": "732-662-1200",
            "fax_number": "732-662-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MERIDIAN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202823",
            "telephone_number": "732-662-1200",
            "fax_number": "732-662-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHNAWAZ ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-662-1200"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFELINE ADULT DAY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIFELINE ADULT DAY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.