Healthcare Provider Details

I. General information

NPI: 1497057137
Provider Name (Legal Business Name): A PLUS ADULT MEDICAL DAY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2010
Last Update Date: 12/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 E 18TH ST
PATERSON NJ
07514-2624
US

IV. Provider business mailing address

575 E 18TH ST
PATERSON NJ
07514-2624
US

V. Phone/Fax

Practice location:
  • Phone: 973-977-9100
  • Fax: 973-772-6426
Mailing address:
  • Phone: 973-977-9100
  • Fax: 973-772-6426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LENNY KRUGLYAK
Title or Position: LLC MEMBER
Credential: DC
Phone: 201-315-9942