Haitian American Adult Recreation Center

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

HAITIAN AMERICAN ADULT RECREATION CENTER

Practice address

84 Sanford St
East Orange, NJ 07018-1927

Phone

(973) 672-6200

Fax

(973) 672-6204

NPI assigned

Jan 11, 2018

Organization subpart

Yes

Parent organization

HAITIAN AMERICAN ADULT RESOURCES CENTERAs reported in NPPES

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

Authorized official

Name

Ms. Patricia Engine, ASSISTANT DIETICIAN

Title

Ceo

Phone

(973) 672-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haitian American Adult Resources Center Other name

Part of

Haitian American Adult Recreation Center

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1518475698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SANFORD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181927",
            "telephone_number": "973-672-6200",
            "fax_number": "973-672-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SANFORD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181927",
            "telephone_number": "973-672-6200",
            "fax_number": "973-672-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAITIAN AMERICAN ADULT RECREATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAITIAN AMERICAN ADULT RESOURCES CENTER",
        "enumeration_date": "2018-01-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ENGINE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-672-6200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ASSISTANT DIETICIAN"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "555555555",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haitian American Adult Resources Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Companion in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Adult Companion in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.