Active NPI
Aydan High Quality Healthcare
- Family Nurse Practitioner
- Vineland, NJ
National Provider Identifier
1134067770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- AYDAN HIGH QUALITY HEALTHCARE
- Practice address
- 629 E Wood St Ste 305
Vineland, NJ 08360-3731 - Phone
- (856) 839-2661
- Fax
- (856) 219-4781
- NPI assigned
- Mar 24, 2026
- Organization subpart
- Yes
- Parent organization
- AYDAN HIGH QUALITY HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daryl Stafford Jr.
- Title
- Owner
- Phone
- (856) 839-2661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
629 E Wood St Ste 305
Vineland, NJ 08360-3731
Mailing address
629 E Wood St Ste 305
Vineland, NJ 08360-3731
Phone (856) 839-2661
National Provider Directory
National Provider Directory- Tax ID family
- Aydan High Quality Healthcare
- Part of
- Aydan High Quality Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Vineland, NJ
- NPI 1669036687
Locations
629 E Wood St
Ste 305
Vineland, NJ 08360
Phone (856) 449-4664
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Vineland, NJ
- NPI 1669036687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1134067770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 E WOOD ST STE 305",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083603731",
"telephone_number": "856-839-2661",
"fax_number": "856-219-4781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 E WOOD ST STE 305",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083603731",
"telephone_number": "856-839-2661",
"fax_number": "856-219-4781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AYDAN HIGH QUALITY HEALTHCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AYDAN HIGH QUALITY HEALTHCARE",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "STAFFORD",
"authorized_official_first_name": "DARYL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-839-2661",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.