Organization Active NPI

Bergen Adult Day Care Inc

  • Adult Day Care Clinic/Center
  • Palisades Park, NJ
National Provider Identifier
1417428335
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BERGEN ADULT DAY CARE INC
Practice address
139 E Central Blvd
Palisades Park, NJ 07650-1730
Phone
(201) 577-2886
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Chloe Lee
Title
President
Phone
(201) 577-2886

Specialties & licenses 1

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

Addresses

Primary practice location

139 E Central Blvd
Palisades Park, NJ 07650-1730

Mailing address

139 E Central Blvd
Palisades Park, NJ 07650-1730

National Provider Directory

National Provider Directory

Locations

139 E Central Blvd
Palisades Park, NJ 07650
Phone (201) 577-2886

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1417428335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E CENTRAL BLVD",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E CENTRAL BLVD",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501730",
            "telephone_number": "201-577-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-577-2886"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.