NPIMap

Organization Active NPI

Dynamic Caregivers

  • In Home Supportive Care Agency
  • Flemington, NJ
National Provider Identifier
1235722117
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DYNAMIC CAREGIVERS
Practice address
21 Covered Bridge Rd
Flemington, NJ 08822-4902
Phone
(240) 476-8875
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Dominic Ikotidem
Title
Director
Phone
(301) 335-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

21 Covered Bridge Rd
Flemington, NJ 08822-4902

Mailing address

21 Covered Bridge Rd
Flemington, NJ 08822-4902
Phone (908) 968-0443

Other names 1

  • DYNAMIC CAREGIVERS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Caregivers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1235722117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COVERED BRIDGE RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224902",
            "telephone_number": "908-968-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COVERED BRIDGE RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224902",
            "telephone_number": "240-476-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CAREGIVERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "IKOTIDEM",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-335-7787"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYNAMIC CAREGIVERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DYNAMIC CAREGIVERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.