Magnolia Adult Day Habilitation LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MAGNOLIA ADULT DAY HABILITATION LLC

Practice address

2300 3Rd St
Fort Lee, NJ 07024-4016

Phone

(201) 838-6655

Fax

(201) 903-4646

NPI assigned

Jan 14, 2025

Organization subpart

No

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

Authorized official

Name

Lucinda Avlonitis

Title

Co-Owner

Phone

(201) 838-6655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1528879152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E GLEN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501737",
            "telephone_number": "201-838-6655",
            "fax_number": "201-903-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 3RD ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244016",
            "telephone_number": "201-838-6655",
            "fax_number": "201-903-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA ADULT DAY HABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "AVLONITIS",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "201-838-6655"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lynch, PT, DPT
• Han Wool Lyu, D.M.D
• M&N Dental of Fort Lee
• Risheng Ma, LAC
• Magnolia Adult Day Care LLC
• Lauren Virginia Malajian, PT, DPT
• Vera Malezhik, DPM
• Anatoly Maloletkin
• Mukundha Belliappa Maneyapanda, M.D.
• Michael John Marcano

• Developmentally Disabled Services Day Training Agency in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.