Organization Active NPI

Jewish Community Center on the Palisades

  • Adult Day Care Clinic/Center
  • Tenafly, NJ
National Provider Identifier
1093911042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
JEWISH COMMUNITY CENTER ON THE PALISADES
Practice address
411 E Clinton Ave
Tenafly, NJ 07670-2319
Phone
(201) 569-7900
Fax
(201) 569-7448
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Vivian Korner, MA
Title
Director, Kaplen Adult Reach Center
Phone
(201) 569-7900

Specialties & licenses 1

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

Addresses

Primary practice location

411 E Clinton Ave
Tenafly, NJ 07670-2319

Mailing address

411 E Clinton Ave
Tenafly, NJ 07670-2319
Phone (201) 569-7900

Other identifiers 1

IdentifierTypeStateIssuer
8903506MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Jewish Community Center on the Palisades2 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": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093911042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E CLINTON AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702319",
            "telephone_number": "201-569-7900",
            "fax_number": "201-569-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CLINTON AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702319",
            "telephone_number": "201-569-7900",
            "fax_number": "201-569-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH COMMUNITY CENTER ON THE PALISADES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORNER",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "DIRECTOR, KAPLEN ADULT REACH CENTER",
        "authorized_official_telephone_number": "201-569-7900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8903506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.