2ND Home Perth Amboy Operations, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

2ND HOME PERTH AMBOY OPERATIONS, LLC

Practice address

420 Fayette St
Perth Amboy, NJ 08861-3835

Phone

(973) 395-0555

Fax

(973) 395-0560

NPI assigned

Feb 12, 2009

Last updated

Feb 12, 2009By 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. Josh Greenbaum

Title

President

Phone

(973) 395-0555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1285873323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N DAY ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503608",
            "telephone_number": "973-395-0555",
            "fax_number": "973-395-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FAYETTE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613835",
            "telephone_number": "973-395-0555",
            "fax_number": "973-395-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND HOME PERTH AMBOY OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-395-0555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2ND Home Perth Amboy LLC
• Abc Family Smiles LLC (abc smiles family & childrens dentistry)
• Assem Abdelhameed, PHARM D.
• Moheb S Abdelmalek, MD
• Michelle Abramova, DO
• Katherine Elizabeth Accarino, LSW

• Adult Day Care Clinic/Center in Perth Amboy, NJ
• Providers in Perth Amboy, 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 Feb 12, 2009; 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.