Active NPI
Newark Extened Care Facility Inc
- Adult Day Care Clinic/Center
- Newark, NJ
National Provider Identifier
1215115274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 308335
- Legal business name
- NEWARK EXTENED CARE FACILITY INC
- Practice address
- 65 Jay St
Newark, NJ 07103-3235 - Phone
- (973) 483-6800
- Fax
- (973) 483-1841
- NPI assigned
- Feb 1, 2008
- Organization subpart
- Yes
- Parent organization
- NEWARK EXTENDED CARE FACILITY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Elky Eisdorfer, LNHA
- Title
- Assistant Administrator
- Phone
- (973) 483-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 308335 | NJ | Primary |
Addresses
Primary practice location
65 Jay St
Newark, NJ 07103-3235
Mailing address
65 Jay St
Newark, NJ 07103-3235
Phone (973) 483-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3749908 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Newark Extened Care Facility Inc
- Part of
- Newark Extened Care Facility Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Newark, NJ
- NPI 1386780807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201824000000",
"number": "1215115274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 JAY ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071033235",
"telephone_number": "973-483-6800",
"fax_number": "973-483-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 JAY ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071033235",
"telephone_number": "973-483-6800",
"fax_number": "973-483-1841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWARK EXTENED CARE FACILITY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEWARK EXTENDED CARE FACILITY INC",
"enumeration_date": "2008-02-01",
"last_updated": "2008-02-01",
"status": "A",
"authorized_official_last_name": "EISDORFER",
"authorized_official_first_name": "ELKY",
"authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
"authorized_official_telephone_number": "973-483-6800",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NJ",
"license": "308335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3749908",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.