OrganizationActive
Providence Pediatric Medical Daycare, Inc.
NPI 1720247091 · Medically Fragile Infants and Children Day Care · Atlantic City, NJ
Provider details
- NPI number
- 1720247091
- Entity type
- Organization
- Primary specialty
- Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leeanna Roman, President(856) 753-7763
- License
- 018200 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
35 S Annapolis Ave
Atlantic City, NJ 08401-5927
Phone: (609) 345-2340
Fax: (609) 345-3021
Street-level locationGet directions
Mailing address
411 Commerce Ln
West Berlin, NJ 08091-9254
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2008-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.