E Glise Evangeligue Eben Ezer Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

E GLISE EVANGELIGUE EBEN EZER INC

Practice address

188 Central Avenue
East Orange, NJ 07018

Phone

(973) 776-2205

Fax

(862) 930-3135

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Laurent

Title

Administrator

Phone

(973) 609-7714

Specialties & licenses 1

Addresses

Other names 1

• Adult Social Day Care Center Doing business as

Locations

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1396128195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 CENTRAL AVENUE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-776-2205",
            "fax_number": "862-930-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 CENTRAL AVENUE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-776-2205",
            "fax_number": "862-930-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E GLISE EVANGELIGUE EBEN EZER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "LAURENT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-609-7714",
        "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": [
        {
            "organization_name": "Adult Social Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelechi Duru
• Jan Mika Dy Tioco, PHARM.D.
• Grace V Dy, RN
• Dymphna Mental Health Services LLC
• Dynamic Physical Therapy and Wellness LLC
• E&M Pharmacy LLC
• East Orange General Hospital
• East Orange General Hospital
• East Orange General Hospital
• East Orange General Hospital

• Adult Day Care Clinic/Center in East Orange, NJ
• Providers in East Orange, 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, 2015; 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.