Organization Active NPI

Pediatric Day HLTH CRT @ Millh

  • Medically Fragile Infants and Children Day Care
  • Trenton, NJ
National Provider Identifier
1093890378
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
Legal business name
PEDIATRIC DAY HLTH CRT @ MILLH
Practice address
325 Jersey St
Trenton, NJ 08611-3113
Phone
(609) 396-2299
Fax
(609) 396-7611
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Robert J Sall
Title
C.O.O.
Phone
(856) 663-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X Primary

Addresses

Primary practice location

325 Jersey St
Trenton, NJ 08611-3113

Mailing address

1114 Wynnwood Ave
Cherry Hill, NJ 08002-3256
Phone (856) 663-4044

Other identifiers 1

IdentifierTypeStateIssuer
0061212MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Millhouse Ped Day HLTH SVCS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1093890378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 WYNNWOOD AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023256",
            "telephone_number": "856-663-4044",
            "fax_number": "856-663-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 JERSEY ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086113113",
            "telephone_number": "609-396-2299",
            "fax_number": "609-396-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DAY HLTH CRT @ MILLH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "856-663-4044"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061212",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.