Organization Active NPI

Abdullah Management Company

Doing business as Evergreen Social Daycare

  • Adult Day Care Clinic/Center
  • Trenton, NJ
National Provider Identifier
1467848358
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ABDULLAH MANAGEMENT COMPANY
Doing business as
Evergreen Social Daycare
Practice address
465 Greenwood Ave
Trenton, NJ 08609-2107
Phone
(732) 986-3831
Fax
(732) 297-0344
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Robert AbdullahNPI 1447660170
Title
President
Phone
(732) 986-3831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

465 Greenwood Ave
Trenton, NJ 08609-2107

Mailing address

10 Diamond CT
Franklin Park, NJ 08823-1604
Phone (732) 986-3831

Other identifiers 1

IdentifierTypeStateIssuer
0408298MedicaidNJ

Other names 1

  • Evergreen Social Daycare Doing business as

National Provider Directory

National Provider Directory

Locations

465 Greenwood Ave
Trenton, NJ 08609
Phone (732) 986-3831

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1467848358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DIAMOND CT",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231604",
            "telephone_number": "732-986-3831",
            "fax_number": "732-297-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 GREENWOOD AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086092107",
            "telephone_number": "732-986-3831",
            "fax_number": "732-297-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDULLAH MANAGEMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-986-3831"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408298",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Social Daycare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.