1. Home
  2. Directory
  3. New Jersey
  4. Camden
  5. Clinic Center
  6. NPI Profile

PROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC.
NPI 1083765010
Clinic/Center - Medically Fragile Infants and Children Day Care in Camden, NJ

Active since January 16, 2007
1000 ATLANTIC AVE, CAMDEN D, 2ND FLOOR, CAMDEN, NJ 08104(856) 338-0900(856) 338-0029 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Pediatric Medical Daycare, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC. (NPI 1083765010) is a healthcare organization registered as a medically fragile infants and children day care in Camden, New Jersey and active in the NPI registry since January 2007. The organization lists Leeanna Roman, President, as its authorized official.

NPPES Registry Identity

NPI1083765010
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NamePROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC.
Location Address1000 ATLANTIC AVE, CAMDEN D, 2ND FLOORCamden, NJ 08104-1132
Mailing Address411 Commerce LnWest Berlin, NJ 08091-9254 · (856) 753-7763 · Fax (856) 753-7714
Phone(856) 338-0900
Fax(856) 338-0029
Organization SubpartNo
Authorized OfficialLeeanna RomanPresident · (856) 753-7763
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJune 3, 2008
✔ NPI 1083765010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
License✔ Licensed in NJ · 158222
Definition
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
1000 ATLANTIC AVE, Camden, NJ 08104
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN8839786NJ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JULIUS BROOKS M.D
Family Medicine
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (856) 246-3542
NATASHA HALYARD FNP
Nurse Practitioner (Family)
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (856) 246-3542
VICTOR KIM DMD
Student in an Organized Health Care Education/Training Program
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (732) 801-3084
EXCEL - CFGHS
Psychiatric Residential Treatment Facility
1000 ATLANTIC AVE, 4TH FLOOR
CAMDEN, NJ 08104
Camden County (856) 983-3900
MARK BAMPTON OD
Optometrist
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (805) 208-8614
DR. ARALA L. COHEN DPM
Podiatrist (Foot & Ankle Surgery)
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (856) 246-3543
DR. TEJAL VOHERA D.M.D
Dentist (General Practice)
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (856) 246-3545
JANET ARINOLA OSAYAMWEN APN
Nurse Practitioner (Family)
1000 ATLANTIC AVE
CAMDEN, NJ 08104
Camden County (856) 246-3542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Pediatric Medical Daycare, Inc.'s NPI number?

The NPI number for Providence Pediatric Medical Daycare, Inc. is 1083765010. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Providence Pediatric Medical Daycare, Inc. located?

Providence Pediatric Medical Daycare, Inc. is located at 1000 Atlantic Ave Camden D, 2nd Floor, Camden, NJ 08104. The listed phone number is (856) 338-0900.

What is Providence Pediatric Medical Daycare, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

When was this NPI record last updated?

The NPPES record for Providence Pediatric Medical Daycare, Inc. was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.