=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083566327
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GALLOWAY ADC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2026
-----------------------------------------------------
Last Update Date | 02/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 76 W JIMMIE LEEDS RD
-----------------------------------------------------
City | GALLOWAY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08205-9411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-337-6300
-----------------------------------------------------
Fax | 609-466-7738
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2000 CORNWALL RD STE 300
-----------------------------------------------------
City | MONMOUTH JUNCTION
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08852-2445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-545-7099
-----------------------------------------------------
Fax | 609-466-7738
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SUNIL NAYAK
-----------------------------------------------------
Credential | MEMBER
-----------------------------------------------------
Telephone | 732-672-2672
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------