Organization Active NPI

Polymart

  • In Home Supportive Care Agency
  • Matawan, NJ
National Provider Identifier
1104147529
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HP0139200 Issued in NJ
Legal business name
POLYMART
Practice address
169 Main St
Suite 102
Matawan, NJ 07747-4105
Phone
(732) 970-6164
Fax
(732) 970-6166
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Mr. Arthur E Cecchini
Title
President
Phone
(732) 970-6164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HP0139200 NJ Primary

Addresses

Primary practice location

169 Main St
Suite 102
Matawan, NJ 07747-4105

Mailing address

169 Main St
Suite 102
Matawan, NJ 07747-4105
Phone (732) 970-6164

Other names 1

  • ComForcare Senior Services North Monmouth Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1104147529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MAIN ST",
            "address_2": "SUITE 102",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077474105",
            "telephone_number": "732-970-6164",
            "fax_number": "732-970-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MAIN ST",
            "address_2": "SUITE 102",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077474105",
            "telephone_number": "732-970-6164",
            "fax_number": "732-970-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "CECCHINI",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-970-6164",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "HP0139200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services North Monmouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.