NPIMap

Organization Active NPI

Northeast Adult Day Care Inc

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1881627305
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT002109E Issued in PA
Legal business name
NORTHEAST ADULT DAY CARE INC
Practice address
11048 Rennard St
Philadelphia, PA 19116-2618
Phone
(215) 671-8909
Fax
(215) 671-0686
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. Alex Ufberg, P.T.NPI 1679516801
Title
Physical Therapist, Director
Phone
(215) 671-8909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT002109E PA Primary

Addresses

Primary practice location

11048 Rennard St
Philadelphia, PA 19116-2618

Mailing address

11048 Rennard St
Philadelphia, PA 19116-2618
Phone (215) 671-8909

National Provider Directory

National Provider Directory
Tax ID family
Northeast Adult Day Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1881627305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11048 RENNARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162618",
            "telephone_number": "215-671-8909",
            "fax_number": "215-671-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11048 RENNARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162618",
            "telephone_number": "215-671-8909",
            "fax_number": "215-671-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "UFBERG",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, DIRECTOR",
        "authorized_official_telephone_number": "215-671-8909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT002109E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.