MEDICARE: WONDIRFUL PLAY LLC

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
1	261QD1600X	Developmental Disabilities Clinic/Center
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1982444527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WONDIRFUL PLAY LLC

Provider Business Mailing Address
First Line	:	83 MERON RD
Second Line	:
City	:	MONSEY
State	:	NY
Zip	:	10952-2215
Country	:	US
Telephone Number	:	646-859-9554
Fax Number	:

Provider Business Practice Location Address
First Line	:	503 HOPE CHAPEL RD
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-1559
Country	:	US
Telephone Number	:	646-859-9554
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. HERSHEL FRIEDMAN
Credential	:
Telephone Number	:	646-859-9554

Provider Enumeration Date	:	05/30/2024
Last Update Date	:	06/16/2025

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Directions to “WONDIRFUL PLAY LLC ” Practice Location

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