NPIMap

Organization Active NPI

Essex Medical Day Care LLC

  • Adult Day Care Clinic/Center
  • Nutley, NJ
National Provider Identifier
1215072657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
308120 Issued in NJ
Legal business name
ESSEX MEDICAL DAY CARE LLC
Practice address
263 Hillside Ave
Nutley, NJ 07110-1180
Phone
(973) 662-9191
Fax
(973) 662-1112
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Alex Rubin
Title
President
Phone
(973) 662-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 308120 NJ Primary

Addresses

Primary practice location

263 Hillside Ave
Nutley, NJ 07110-1180

Mailing address

263 Hillside Avenue
Nutley, NJ 07110-1180
Phone (973) 662-9191

Other identifiers 1

IdentifierTypeStateIssuer
0078271MedicaidNJ

Other names 1

  • Home Away From Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Essex Medical Day Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215072657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HILLSIDE AVENUE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101180",
            "telephone_number": "973-662-9191",
            "fax_number": "973-662-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 HILLSIDE AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101180",
            "telephone_number": "973-662-9191",
            "fax_number": "973-662-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX MEDICAL DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-662-9191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "308120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078271",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Away From Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nutley, 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.