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PEDIATRIC DAY HLTH CTR GALLOW NPI 1790871812


NPI Information

NPI: 1790871812
Provider Name: PEDIATRIC DAY HLTH CTR GALLOW
Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

Address:
66 W JIMMIE LEEDS RD
GALLOWAY, NJ
ZIP 08205
Phone: (609) 748-9100
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PEDIATRIC DAY HLTH CTR GALLOW is a medically fragile infants and children day care clinic center in Galloway, NJ. The provider is 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.). PEDIATRIC DAY HLTH CTR GALLOW NPI is 1790871812. The provider is registered as an organization entity type.

The provider's business location address is:

66 W JIMMIE LEEDS RD
GALLOWAY, NJ
ZIP 08205-401
Phone: (609) 748-9100
Fax: (609) 748-9300

The provider's authorized official is Robert J Sall .
The authorized official title is C.e.o. and has the following contact phone number (856) 663-4044.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10103616MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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