Organization Active NPI

Arcadia Healthcare Group, LLC

  • Adult Day Care Clinic/Center
  • West New York, NJ
National Provider Identifier
1811454549
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ARCADIA HEALTHCARE GROUP, LLC
Practice address
6120 Buchanan PL
West New York, NJ 07093-2915
Phone
(973) 713-1106
Fax
(201) 537-2209
NPI assigned
Feb 28, 2019
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Mr. Ted Jeremey Wilson, MBA
Title
Owner / Administrator
Phone
(973) 713-1106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

6120 Buchanan PL
West New York, NJ 07093-2915

Mailing address

6120 Buchanan PL
West New York, NJ 07093-2915
Phone (973) 713-1106

National Provider Directory

National Provider Directory

Locations

6120 Buchanan Pl
West New York, NJ 07093
Phone (201) 758-5238

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1811454549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BUCHANAN PL",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932915",
            "telephone_number": "973-713-1106",
            "fax_number": "201-537-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BUCHANAN PL",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932915",
            "telephone_number": "973-713-1106",
            "fax_number": "201-537-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "JEREMEY",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "973-713-1106",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.