Pediatric Specialty Care Servces, LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

License

080192 Issued in NJ

Legal business name

PEDIATRIC SPECIALTY CARE SERVCES, LLC

Doing business as

Hope Pediatrics Medical Day Care Center

Practice address

61 Myrtle St
Cranford, NJ 07016-3456

Phone

(609) 730-1980

NPI assigned

Sep 27, 2012

Last updated

Jan 21, 2014By 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

Richard Speranza

Title

Owner

Phone

(609) 730-1980

Specialties & licenses 1

Addresses

Other names 1

• Hope Pediatrics Medical Day Care Center Doing business as

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1790036929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WASHINGTON CROSSING PE RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342508",
            "telephone_number": "609-730-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MYRTLE ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163456",
            "telephone_number": "609-730-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPECIALTY CARE SERVCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "SPERANZA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-730-1980"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "NJ",
            "license": "080192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Pediatrics Medical Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert Angelo Pedevillano, MS, LPC
• Rachel Pender, OTR/L
• Julia Perrotta, MA, CCC-SLP
• Charmaine Rosemarie Perry, MS, LPC, NCC
• Personal Care Podiatry LLC
• Xavier Peters, PT, DPT

• Medically Fragile Infants and Children Day Care in Cranford, NJ
• Providers in Cranford, 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 Jan 21, 2014; 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.