La Paula Manor Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LA PAULA MANOR CORPORATION

Practice address

25 S Paula Dr
Bergenfield, NJ 07621-3511

Phone

(201) 914-9298

NPI assigned

May 5, 2022

Organization subpart

No

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

Authorized official

Name

Kelvin Palicas

Title

Shareholder

Phone

(201) 914-9298

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1710623517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S PAULA DR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S PAULA DR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213511",
            "telephone_number": "201-914-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PAULA MANOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "PALICAS",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "201-914-9298"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Kreger, LCSW
• David Joseph Kuchar, DPM
• La Paula at Main LLC
• La Paula Health Care Service Corp
• La Paula Health Care Services
• Mariliza Lacap, D.D.S.
• Dimitri Laddis, MD
• Jessica Landa, BS OT
• Laser Eye Institute of New Jersey, LLC
• Gregory Law, MD

• Assisted Living Facility in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.