My Daughter's Keeper, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MY DAUGHTER'S KEEPER, INC

Practice address

1086 Livingston Ave
Suite 2
North Brunswick, NJ 08902-1845

Phone

(732) 565-9313

Fax

(732) 565-1019

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Marcella Clark

Title

Chief Executive Officer

Phone

(732) 565-9313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831319631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 LIVINGSTON AVE",
            "address_2": "SUITE 2",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021845",
            "telephone_number": "732-565-9313",
            "fax_number": "732-565-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 LIVINGSTON AVE",
            "address_2": "SUITE 2",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021845",
            "telephone_number": "732-565-9313",
            "fax_number": "732-565-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DAUGHTER'S KEEPER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARCELLA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "732-565-9313",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087696",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Voluntary or Charitable Agency 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.