Good Shepard Adult Day Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

02007 Issued in NJ

Legal business name

GOOD SHEPARD ADULT DAY CARE LLC

Practice address

725 Valley Brook Ave
Lyndhurst, NJ 07071-2030

Phone

(201) 933-0711

Fax

(201) 933-0611

NPI assigned

Aug 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ragae Wassef

Title

President

Phone

(973) 930-5687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1528291663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712030",
            "telephone_number": "201-933-0711",
            "fax_number": "201-933-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712030",
            "telephone_number": "201-933-0711",
            "fax_number": "201-933-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPARD ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "WASSEF",
        "authorized_official_first_name": "RAGAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-930-5687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "02007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet A Ginsberg, MD
• Loren Ginty
• Gisele Castelluber PA
• Global Physical Therapy PC
• Gail A Gloeckler, R.N.
• Good Shepherd DDD Services LLC
• Stanislav Goykhman, M.D
• Jianna Theresa Grasso
• Bridget May Greenwald
• Mouad M Gseir

• Adult Day Care Clinic/Center in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.