Broadway Adult Medical Day Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

YT613N Issued in NJ

Legal business name

BROADWAY ADULT MEDICAL DAY CARE INC

Practice address

24-20 Broadway
Fair Lawn, NJ 07410-3057

Phone

(201) 797-1177

Fax

(201) 796-3344

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Errol Seltzer

Title

Administrator

Phone

(201) 797-1177

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417095324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24-20 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103057",
            "telephone_number": "201-797-1177",
            "fax_number": "201-796-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-20 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103057",
            "telephone_number": "201-797-1177",
            "fax_number": "201-796-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY ADULT MEDICAL DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELTZER",
        "authorized_official_first_name": "ERROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-797-1177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "YT613N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8803404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Fair Lawn, NJ
• Providers in Fair Lawn, 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 Aug 22, 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.