Active NPI
Abdullah Management Company
Doing business as Evergreen Social Daycare
- Adult Day Care Clinic/Center
- Trenton, NJ
National Provider Identifier
1467848358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Abdullah
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0408298 | Medicaid | NJ |
Other names 1
- Evergreen Social Daycare
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Day Care Clinic/Center
- Franklin Park, NJ
- NPI 1447660170
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.