Healthcare Provider Details

I. General information

NPI: 1548689086
Provider Name (Legal Business Name): NEW JERSEY ADULT MEDICAL DAY CARE CENTER II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 CHESTNUT STREET
NEWARK NJ
07105
US

IV. Provider business mailing address

290 CHESTNUT STREET
NEWARK NJ
07105
US

V. Phone/Fax

Practice location:
  • Phone: 973-578-2815
  • Fax: 973-589-0787
Mailing address:
  • Phone: 973-578-2815
  • Fax: 973-589-0787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOAN MARIE GRANATO
Title or Position: OWNER
Credential:
Phone: 201-736-5301