Active NPI
Pediatric Day HLTH CRT @ Millh
- Medically Fragile Infants and Children Day Care
- Trenton, NJ
National Provider Identifier
1093890378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0061212 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Millhouse Ped Day HLTH SVCS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medically Fragile Infants and Children Day Care
- Trenton, NJ
- NPI 1134215239
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.