Organization Active NPI

The Gallery at Buckingham Place

  • Adult Day Care Clinic/Center
  • Princeton, NJ
National Provider Identifier
1881736411
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
KCWWKE Issued in NJ
Legal business name
THE GALLERY AT BUCKINGHAM PLACE
Practice address
155 Raymond Rd
Princeton, NJ 08540-9608
Phone
(732) 329-8954
Fax
(732) 329-9225
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andrea Webb
Title
Administrator
Phone
(732) 329-8954

Specialties & licenses 1

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

Addresses

Primary practice location

155 Raymond Rd
Princeton, NJ 08540-9608

Mailing address

155 Raymond Rd
Princeton, NJ 08540-9608
Phone (732) 329-8954

Other identifiers 1

IdentifierTypeStateIssuer
8723419MedicaidNJ

Other names 1

  • Buckingham Place Other name

National Provider Directory

National Provider Directory
Tax ID family
Buckingham Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881736411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 RAYMOND RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409608",
            "telephone_number": "732-329-8954",
            "fax_number": "732-329-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 RAYMOND RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409608",
            "telephone_number": "732-329-8954",
            "fax_number": "732-329-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GALLERY AT BUCKINGHAM PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-329-8954"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "KCWWKE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8723419",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckingham Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • 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.