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General NPI Number Information
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NPI Number | 1548689086
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Entity Type | Organization
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Legal Business Name | NEW JERSEY ADULT MEDICAL DAY CARE CENTER II
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 290 CHESTNUT STREET
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 973-578-2815
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Fax | 973-589-0787
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Provider Business Mailing Address
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Address Line | 290 CHESTNUT STREET
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 973-578-2815
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Fax | 973-589-0787
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JOAN MARIE GRANATO
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Credential |
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Telephone | 201-736-5301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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