Parent Associate LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

PARENT ASSOCIATE LLC

Practice address

777 Madison Ave
Paterson, NJ 07501-2409

Phone

(973) 345-4998

Fax

(973) 345-4998

NPI assigned

Nov 2, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra A Diaz Matos

Title

President, Owner

Phone

(973) 345-4998

Specialties & licenses 1

Addresses

Tax ID family

Parent Associate LLC2 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.

• Parent Association LLC

  • Custodial Care Facility
  • Paterson, NJ
  • NPI 1598018731
  NPD tax ID

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1437403102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 MADISON AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012409",
            "telephone_number": "973-345-4998",
            "fax_number": "973-345-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 MADISON AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012409",
            "telephone_number": "973-345-4998",
            "fax_number": "973-345-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT ASSOCIATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ MATOS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "973-345-4998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Custodial Care Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.