Calvary Baptist Adult Medical Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

708117 Issued in NJ

Legal business name

CALVARY BAPTIST ADULT MEDICAL DAY CARE

Practice address

575 E 18TH St
Paterson, NJ 07514-2624

Phone

(973) 977-9100

Fax

(973) 977-2023

NPI assigned

Jun 20, 2008

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Yvette Michelle Smith, CALA

Title

Associate Administrator

Phone

(973) 977-9100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1952562183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E 18TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075142624",
            "telephone_number": "973-977-9100",
            "fax_number": "973-977-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E 18TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075142624",
            "telephone_number": "973-977-9100",
            "fax_number": "973-977-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY BAPTIST ADULT MEDICAL DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ASSOCIATE ADMINISTRATOR",
        "authorized_official_telephone_number": "973-977-9100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "708117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147559",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jindang Cai, DDS
• Bryan Calero, MD
• Kirsten Calica, MD
• Theodorico Calica, C.R.N.A.
• Rebecca Callahan
• Leida J Calvo
• Dannele Campbell
• Karina Campos
• Can-DO Transportation Services Inc
• Sergio Canabal, RPH

• Adult Day Care Clinic/Center in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.