Organization Active NPI

White Dove Health Agency

  • In Home Supportive Care Agency
  • Mays Landing, NJ
National Provider Identifier
1912461641
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WHITE DOVE HEALTH AGENCY
Practice address
82 Northridge Dr
Mays Landing, NJ 08330-4920
Phone
(973) 704-5644
NPI assigned
Jan 28, 2019
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Watso N Pessu
Title
Owner
Phone
(973) 704-5644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

82 Northridge Dr
Mays Landing, NJ 08330-4920

Mailing address

82 Northridge Dr
Mays Landing, NJ 08330-4920

National Provider Directory

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": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1912461641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NORTHRIDGE DR",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083304920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NORTHRIDGE DR",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083304920",
            "telephone_number": "973-704-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DOVE HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "PESSU",
        "authorized_official_first_name": "WATSO N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-704-5644"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.