Personalized Home Care, LTD. of N.J.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0102802 Issued in NJ

Legal business name

PERSONALIZED HOME CARE, LTD. OF N.J.

Practice address

73 Ferry St # 75
Newark, NJ 07105-1831

Phone

(973) 344-6555

Fax

(973) 344-8088

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sal Nicosia

Title

Comptroller

Phone

(914) 423-6410

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Personalized Home Care LTD of NJ2 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.

• Personalized Home Care, LTD. of N.J.

  • Home Health Agency
  • Cliffside Park, NJ
  • NPI 1457569477
  NPD tax ID

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457569311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016822",
            "telephone_number": "914-423-6410",
            "fax_number": "914-423-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 FERRY ST # 75",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051831",
            "telephone_number": "973-344-6555",
            "fax_number": "973-344-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HOME CARE, LTD. OF N.J.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICOSIA",
        "authorized_official_first_name": "SAL",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "914-423-6410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0102802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06312012",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Mangunay Pergament, D.O., M.P.H.
• Jennifer Perhac, MS OT
• Louis J Perl, MD
• Chris Tonya Pernell, M.D., MPH
• Sarah Elizabeth Perry
• Richard A Pertes, DDS
• Sarah Perwien
• Raymond John Pesenti, MD
• Courtney Peshkovsky, MD
• Peter Hoe Clinic @SMMC

• Home Health Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Home Health Agency 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.