Central Ward Social Adult Daycare Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

SOCIAL ADULT DAY CAR Issued in NJ

Legal business name

CENTRAL WARD SOCIAL ADULT DAYCARE CENTER

Practice address

167 S 6TH St
Newark, NJ 07103-2408

Phone

(973) 842-5662

NPI assigned

Mar 11, 2017

Organization subpart

No

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

Authorized official

Name

Andre Speight, PHD

Title

Executive Director

Phone

(973) 842-5662

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489190400000",
    "number": "1558802488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 LITTLETON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032304",
            "telephone_number": "973-842-5662",
            "fax_number": "973-732-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S 6TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032408",
            "telephone_number": "973-842-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WARD SOCIAL ADULT DAYCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2017-03-11",
        "status": "A",
        "authorized_official_last_name": "SPEIGHT",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-842-5662",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "SOCIAL ADULT DAY CAR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SOCIAL ADULT DAYCARE",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Jersey Medical Center, Inc
• Central Jersey Medical Center, Inc.
• Central Jersey Medical Center, Inc.
• Central Jersey Medical Center, Inc.
• Central Jersey Medical Center, Inc.
• Cerebral Palsy of North Jersey
• Cerebral Palsy of North Jersey
• Janine Paola Alano Cerilla, FNP-BC
• Mireya S Cervantes, MD
• Lissette Maria Cespedes, M.D.

• Adult Day Care Clinic/Center in Newark, NJ
• Providers in Newark, 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 Mar 11, 2017; 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.