Enam Corporation

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

License

158226 Issued in NJ

Legal business name

ENAM CORPORATION

Doing business as

anna's angels pediatric medical daycare

Practice address

238 Mercer St
Gloucester City, NJ 08030-1429

Phone

(856) 456-3450

Fax

(856) 456-3451

NPI assigned

Jan 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn McGuinness, R.N.

Title

Director of Nursing

Phone

(856) 456-3450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• anna's angels pediatric medical daycare Doing business as

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699828111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080300266",
            "telephone_number": "856-456-3450",
            "fax_number": "856-456-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MERCER ST",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301429",
            "telephone_number": "856-456-3450",
            "fax_number": "856-456-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENAM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGUINNESS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "856-456-3450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "NJ",
            "license": "158226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040690",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "anna's angels pediatric medical daycare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latoyria Djanie, CAC
• Jerry Dorestant
• Dr. Irving J. Klein,PA
• Dr. Larry Charles Wallis LLC
• Edward L. Lundy, D.O.
• Keana Fairfax, MSW, LCSW
• Chastiti Fitzgerald, MS, LCADC, LAC
• William Gladle
• Gloucester City Board of Education
• Kristina M Greco, LCSW

• Medically Fragile Infants and Children Day Care in Gloucester City, NJ
• Providers in Gloucester City, NJ by specialty
• Medically Fragile Infants and Children Day Care in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.