GALLOWAY PEDIATRIC MEDICAL DAY CARE LLC


Address: 66 West Jimmie Leeds Road, Absecon, NJ 08201
Phone: 6097482888

GALLOWAY PEDIATRIC MEDICAL DAY CARE LLC (NPI# 1457796930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457796930
Entity Type Organization
Organization Name GALLOWAY PEDIATRIC MEDICAL DAY CARE LLC
Other Organization Name PEDIATRIC DAY HEALTH CENTER AT GALLOWAY
Practice Address 66 West Jimmie Leeds Road
Absecon
NJ 08201
Mailing Address 2 Laurel Ave
Clifton
NJ 07012-1217
Practice Telephone 6097482888
Mailing Telephone 7187554047
Enumeration Date 2013-05-09
Last Update Date 2013-05-09
Authorized Official Name MR. EUGENE EHRENFELD (MEMBER)
Authorized Official Telephone 7187554047
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM3000X Clinic/Center
Specialization: Medically Fragile Intants and Children Day Care
018252 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ LICENSE 018252 01

Other Provider/Organization Names

Other Name Type Code
Pediatric Day Health Center at Galloway Doing Business As Name - Organization

Office Location

Street Address 66 WEST JIMMIE LEEDS ROAD
City ABSECON
State NJ
Zip Code 08201

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NPI Name Taxonomy Address Enumeration
1053831859 Community Quest, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Apt 36 400 Manor Drive, Absecon, NJ 08201 2017-06-22
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1568835510 Caringhouse Projects, Inc Respite Care 640 Ohio Avenue, Absecon, NJ 08201 2015-11-12
1558734509 Caringhouse Projects, Inc Respite Care 206 Wynnewood Drive, Absecon, NJ 08201 2015-11-12
1851764898 Caringhouse Projects, Inc Respite Care 610 Seminole Avenue, Absecon, NJ 08201 2015-11-12
1144693425 Caringhouse Projects, Inc Respite Care 805 Seaside Avenue, Absecon, NJ 08201 2015-11-09
1841669942 Community Options, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1002 Falcon Dr, Absecon, NJ 08201 2015-09-18
1649649765 Kyra Welch Counselor 1 Oyster Bay Road Apt. D, Absecon, NJ 08201 2015-09-18
1558532655 Lenise Racquel Graddy Chiropractor 403 Reed Road, Absecon, NJ 08201 2008-03-17
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Taxonomy Information

Taxonomy Code 261QM3000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medically Fragile Intants and Children Day Care

Taxonomy Definition

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063913143 The Village Child Care Center LLC Clinic/Center 1900 Frontage Rd Apt 810, Cherry Hill, NJ 08034-2214 2018-02-23
1720247091 Providence Pediatric Medical Daycare, Inc. Clinic/Center 35 S Annapolis Ave, Atlantic City, NJ 08401-5927 2008-06-03
1467650572 Manchester Ped Day Hlth Svcs Clinic/Center 1770 Tobias Ave, Manchester, NJ 08759-5803 2007-07-10
1699828111 Enam Corporation Clinic/Center 238 Mercer St, Gloucester City, NJ 08030-1429 2007-01-19
1245382555 Horizon Pediatric Systems Inc. Clinic/Center 100 Youngs Rd, Suite 6, Mercerville, NJ 08619-1025 2007-01-17
1790871812 Pediatric Day Hlth Ctr Gallow Clinic/Center 66 W Jimmie Leeds Rd, Galloway, NJ 08205-9401 2006-10-05
1104342856 Epic Health Services, Inc Clinic/Center 316 W Westfield Ave, Roselle Park, NJ 07204-1841 2017-08-15
1154872240 Little Stars Children's Medical Day Care LLC Clinic/Center 225 N Center Dr, North Brunswick, NJ 08902-4247 2016-10-24
1699167585 Rainbow Children's Medical Day Care LLC Clinic/Center 100 Youngs Rd, Suite 100, Mercerville, NJ 08619-1025 2015-03-02
1265857890 Manchester Pediatric Medical Day Care Clinic/Center 1770 Tobias Ave, Manchester, NJ 08759-5803 2014-02-18
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Competitor

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City ABSECON
Zip Code 08201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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