YMCA of Eastern Union County

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

YMCA OF EASTERN UNION COUNTY

Doing business as

WISE Adult Social Day Care

Practice address

973A Stuyvesant Ave
Union, NJ 07083-6988

Phone

(908) 687-2995

Fax

(908) 688-6913

NPI assigned

Mar 9, 2009

Last updated

Mar 9, 2009By 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

Krystal R. Canady

Title

Chief Executive Officer

Phone

(908) 355-9622

Specialties & licenses 1

Addresses

Other names 1

• WISE Adult Social Day Care Doing business as

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1700027422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973A STUYVESANT AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836988",
            "telephone_number": "908-687-2995",
            "fax_number": "908-688-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973A STUYVESANT AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836988",
            "telephone_number": "908-687-2995",
            "fax_number": "908-688-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF EASTERN UNION COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "CANADY",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "908-355-9622"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WISE Adult Social Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yandi Xia, BCBA
• Delia Yakubov, AGACNP-BC
• David L Yarian, MD
• Ygi LLC
• Yoori W Yim, M.D.
• Eman Younes
• Susan Young
• Sabri Youssef, OPA-C
• Monika Zadlo, PHARMD
• Karvin Zamor

• Home Health Agency in Union, NJ
• Providers in Union, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.