Organization Active NPI

Prestige of Ewing Amdc, LLC

  • Adult Day Care Clinic/Center
  • Ewing, NJ
National Provider Identifier
1982357729
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PRESTIGE OF EWING AMDC, LLC
Practice address
1676 N Olden Ave
Ewing, NJ 08638-3210
Phone
(609) 434-0041
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Isaac Felsenburg
Title
Member
Phone
(917) 951-3150

Specialties & licenses 1

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

Addresses

Primary practice location

1676 N Olden Ave
Ewing, NJ 08638-3210

Mailing address

53 Haddonfield Rd Ste 312
Cherry Hill, NJ 08002-4802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1982357729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HADDONFIELD RD STE 312",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 N OLDEN AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086383210",
            "telephone_number": "609-434-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE OF EWING AMDC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "FELSENBURG",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-951-3150"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.