PROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC.
NPI 1720247091
Clinic/Center - Medically Fragile Infants and Children Day Care in Atlantic City, NJ

Q: 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.

Active since June 03, 2008

35 S ANNAPOLIS AVE, ATLANTIC CITY, NJ 08401(609) 345-2340(609) 345-3021 Get Directions Write a Review

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

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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 1720247091) is a healthcare organization registered as a medically fragile infants and children day care in Atlantic City, New Jersey and active in the NPI registry since June 2008. The organization lists Leeanna Roman, President, as its authorized official.

NPPES Registry Identity

NPI1720247091

Entity TypeOrganization

Primary Taxonomy261QM3000X

Legal Business NamePROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC.

Location Address35 S ANNAPOLIS AVEAtlantic City, NJ 08401-5927

Mailing Address411 Commerce LnWest Berlin, NJ 08091-9254 · (856) 753-7763 · Fax (856) 753-7714

Phone(609) 345-2340

Fax(609) 345-3021

Organization SubpartNo

Authorized OfficialLeeanna RomanPresident · (856) 753-7763

Enumeration DateJune 3, 2008

✔ NPI 1720247091 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 · 018200

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.).

35 S ANNAPOLIS AVE, Atlantic City, NJ 08401

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Other Identifiers 1

Medicare UPIN8839786NJ

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 1720247091. It was assigned to this organization in the NPPES registry on June 3, 2008.

Where is Providence Pediatric Medical Daycare, Inc. located?

Providence Pediatric Medical Daycare, Inc. is located at 35 S Annapolis Ave, Atlantic City, NJ 08401. The listed phone number is (609) 345-2340.

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.