Forever Young Medical Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FOREVER YOUNG MEDICAL DAY CARE

Practice address

18 Worlds Fair Dr FL 1
Somerset, NJ 08873-1346

Phone

(732) 939-9512

Fax

(732) 271-8116

NPI assigned

Jul 6, 2020

Organization subpart

Yes

Parent organization

18 WORLDS FAIR DRIVE, SOMERSET NJ 08873As reported in NPPES

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

Authorized official

Name

Mariya Tolcheva

Title

Partner - Manager

Phone

(732) 939-9512

Specialties & licenses 3

Addresses

Other names 1

• FOREVER YOUNG, DDD Doing business as

Tax ID family

Forever Young Medical Day Care2 organizations share this tax ID, including this one

Part of

Forever Young Medical Day Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Forever Young Medical Day Care

  • Adult Day Care Clinic/Center
  • Somerset, NJ
  • NPI 1528280823
  NPD tax ID

Locations

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1225655343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WORLDS FAIR DR FL 1",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731346",
            "telephone_number": "732-939-9512",
            "fax_number": "732-271-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WORLDS FAIR DR FL 1",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731346",
            "telephone_number": "732-939-9512",
            "fax_number": "732-271-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG MEDICAL DAY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "18 WORLDS FAIR DRIVE, SOMERSET NJ 08873",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "TOLCHEVA",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "PARTNER - MANAGER",
        "authorized_official_telephone_number": "732-939-9512"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREVER YOUNG, DDD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Fleming, DPM
• Khadija Fofana
• Mukhtar Fofana
• Andrea R. Footerman, PSY.D.
• Petal Patricia Forbes
• Forever Young Medical Day Care
• James M Forino, RPH
• Samantha Forsell
• Sophia Fountoukidis, LCSW
• Jacqueline Leigh Franciscus, LAC, NCC

• Adult Day Care Clinic/Center in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.