Prestige of Northfield Amdc, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PRESTIGE OF NORTHFIELD AMDC, LLC

Practice address

331 Tilton Rd
Northfield, NJ 08225-1201

Phone

(917) 951-3150

NPI assigned

Jun 2, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Felsenburg

Title

Member

Phone

(917) 951-3150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1235705948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HADDONFIELD RD STE 312",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024802",
            "telephone_number": "917-951-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251201",
            "telephone_number": "917-951-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE OF NORTHFIELD AMDC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "FELSENBURG",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-951-3150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Piscal
• Platinum Providers Group LLC
• Jackson Pokres, PMHNP -BC
• Ronaldo Portuguez, PHYSICAL THERAPIST
• Laura J Potter, MSW, LCSW
• Francis W Previti, MD
• Ashley Procopio, PA-C
• Progressive Applied Behavioral Treatment (Connect Plus Therapy)
• Quality Care Pediatrics, LLC.
• Quigley-Simpson Inc (Quigley-Simpson Eye Care Center)

• Adult Day Care Clinic/Center in Northfield, NJ
• Providers in Northfield, 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 Jun 30, 2021; 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.