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NPI Code Detail

MEDICARE: NEW JERSEY ADULT MEDICAL DAY CARE CENTER II

MEDICARE: NEW JERSEY ADULT MEDICAL DAY CARE CENTER II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1548689086
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW JERSEY ADULT MEDICAL DAY CARE CENTER II
Provider Business Mailing Address
First Line : 290 CHESTNUT STREET
Second Line :
City : NEWARK
State : NJ
Zip : 07105
Country : US
Telephone Number : 973-578-2815
Fax Number : 973-589-0787
Provider Business Practice Location Address
First Line : 290 CHESTNUT STREET
Second Line :
City : NEWARK
State : NJ
Zip : 07105
Country : US
Telephone Number : 973-578-2815
Fax Number : 973-589-0787
Authorized Official
Title or Position : OWNER
Name : MRS. JOAN MARIE GRANATO
Credential :
Telephone Number : 201-736-5301
Provider Enumeration Date : 04/14/2014
Last Update Date : 03/02/2026

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Directions to “NEW JERSEY ADULT MEDICAL DAY CARE CENTER II ” Practice Location

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