PROVIDENCE PEDIATRIC MEDICAL DAYCARE INC.
NPI 1821496712
Clinic/Center - Adult Day Care in West Berlin, NJ

Q: What is Ppmd West Berlin 1st Floor's NPI number?

The NPI number for Ppmd West Berlin 1st Floor is 1821496712. It was assigned to this organization in the NPPES registry on December 9, 2014. The provider is also known as Providence Pediatric Medical Daycare Inc..

Q: What is Ppmd West Berlin 1st Floor's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Active since December 09, 2014

411 COMMERCE LN, FIRST FLOOR, WEST BERLIN, NJ 08091(856) 753-7935(856) 753-7714 Get Directions Write a Review

NPPES record last updated: December 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 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 1821496712) is a healthcare organization registered as an adult day care in West Berlin, New Jersey and active in the NPI registry since December 2014. The organization lists Leeanna Roman-lozada, Precident / Ceo, as its authorized official.

NPPES Registry Identity

NPI1821496712

Entity TypeOrganization

Primary Taxonomy261QA0600X

Legal Business NamePPMD WEST BERLIN 1ST FLOOR

Location Address411 COMMERCE LN, FIRST FLOORWest Berlin, NJ 08091-9254

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

Phone(856) 753-7935

Fax(856) 753-7714

Organization SubpartYesParent: Providence Pediatric Medical Daycare Inc.

Authorized OfficialLeeanna Roman-lozadaPrecident / Ceo · (856) 753-7763

Enumeration DateDecember 9, 2014

✔ NPI 1821496712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities

Taxonomy Code261QA0600X

License✔ Licensed in NJ · 04012

411 COMMERCE LN, West Berlin, NJ 08091

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Other Names 1

Other NameProvidence Pediatric Medical Daycare Inc.

Other Providers at the Same Location NPPES 3

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

CONNECTED CARE LIMITED LIABILITY

General Practice

411 COMMERCE LN
WEST BERLIN, NJ 08091

Camden County (856) 753-7763

AMALIA KRAMVIS RD

Dietitian, Registered

411 COMMERCE LN
WEST BERLIN, NJ 08091

Camden County (856) 753-7763

MR. THOMAS RICHARD KINDER MSW,LCSW

Social Worker (Clinical)

411 COMMERCE LN
WEST BERLIN, NJ 08091

Camden County (856) 753-7763

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 Ppmd West Berlin 1st Floor's NPI number?

The NPI number for Ppmd West Berlin 1st Floor is 1821496712. It was assigned to this organization in the NPPES registry on December 9, 2014. The provider is also known as Providence Pediatric Medical Daycare Inc..

Where is Ppmd West Berlin 1st Floor located?

Ppmd West Berlin 1st Floor is located at 411 Commerce Ln First Floor, West Berlin, NJ 08091. The listed phone number is (856) 753-7935.

What is Ppmd West Berlin 1st Floor's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Ppmd West Berlin 1st Floor was last updated on December 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.