Ambassador Medical Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

080187 Issued in NJ

Legal business name

AMBASSADOR MEDICAL DAY CARE

Practice address

619 River Avenue
Lakewood, NJ 08701

Phone

(732) 367-1133

Fax

(732) 370-1087

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Aaron Stefansy

Title

Controller

Phone

(732) 730-9280

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780710202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 CROSS ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-730-9280",
            "fax_number": "732-730-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 RIVER AVENUE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-367-1133",
            "fax_number": "732-370-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR MEDICAL DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEFANSY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-730-9280"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "080187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111741",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Alyesh
• Leah Alyesh, RD
• Shana Lynn Amason, CNM
• Carlo Eugenio Amato, D.C.
• Ambassador Hatzlacha
• Ambition Nutrition LLC
• Ameriwell Care
• Dimpy Amin, DDS
• Amoinzadehslp
• Noemie Amoyelle

• Adult Day Care Clinic/Center in Lakewood, NJ
• Providers in Lakewood, 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 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.