Pediatric Day HLTH Ctr Gallow

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

PEDIATRIC DAY HLTH CTR GALLOW

Practice address

66 W Jimmie Leeds Rd
Galloway, NJ 08205-9401

Phone

(609) 748-9100

Fax

(609) 748-9300

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Robert J Sall

Title

C.E.O.

Phone

(856) 663-4044

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1790871812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 WYNNWOOD AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023256",
            "telephone_number": "856-663-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059401",
            "telephone_number": "609-748-9100",
            "fax_number": "609-748-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DAY HLTH CTR GALLOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "856-663-4044"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103616",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiran Patel
• Kreta Pinkal Patel, DMD
• Ramkrishna Patel, M.D.
• Shannon Patel
• Brian Pauling, D.C.
• Grace Perez, MS, RDN
• Jasmine Perez, CD(DONA), IBCLC, CNM
• Jessica Perez
• Morgan Perez, LAC
• Phyllis Marcy Perkins, MD

• Medically Fragile Infants and Children Day Care in Galloway, NJ
• Providers in Galloway, 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 Jul 10, 2007; 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.