Age Of Play LLC
Clinic/Center, Adult Day Care in Holmdel, NJ. Organization (NPI-2).
NPI number1316645476
StatusActive
Last updated in NPPESFeb 20, 2023
Details
- NPI
- 1316645476
- Entity type
- Organization (NPI-2)
- Legal business name
- Age Of Play LLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2023
- Certification date
- Feb 16, 2023
- Last updated
- Feb 20, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
Practice location
7 Highpoint RdHolmdel, NJ 07733-1605
Phone 917-838-7267
Mailing address
7 Highpoint RdHolmdel, NJ 07733-1605
Phone 917-838-7267
Authorized official
Tatyana Chertok
Owner
9178387267
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