Organization Active NPI

Passaic County Elks Adult Training Center

  • Adult Day Care Clinic/Center
  • Clifton, NJ
National Provider Identifier
1417096157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PASSAIC COUNTY ELKS ADULT TRAINING CENTER
Practice address
600 US Highway 46
Clifton, NJ 07013-1503
Phone
(973) 478-6655
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Stephanie Richvalsky
Title
Supervisor
Phone
(973) 478-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

600 US Highway 46
Clifton, NJ 07013-1503

Mailing address

600 US Highway 46
Clifton, NJ 07013-1503
Phone (973) 478-6655

National Provider Directory

National Provider Directory
Tax ID family
Passaic County Elks Adult Training Center2 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.

Locations

600 US Highway 46
Clifton, NJ 07013
Phone (973) 478-5100

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417096157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 US HIGHWAY 46",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131503",
            "telephone_number": "973-478-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 US HIGHWAY 46",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131503",
            "telephone_number": "973-478-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC COUNTY ELKS ADULT TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHVALSKY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "973-478-6655",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • 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.