South Center Street Nursing Llc, NPI 1245272723
Skilled Nursing Facility in Orange, NJ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1245272723
NPI Entity Type Organization
Provider Name South Center Street Nursing Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 135 S Center St, Orange, NJ, US
Provider Mailing Address 14c 53rd St, Suite 220, Brooklyn, NY, US, 112322644
Is Sole Proprietor? No
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Organization Official

Official Name MR. Sam Stern
Official Position COMPTROLLER
Phone 718-567-0400

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. 062209
License State NJ
Description (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Other Organization Name

Pope John Paul II Pavilion
Doing Business As

Business Address

South Center Street Nursing Llc
135 S Center St

Orange, NJ, US

Phone: 973-266-3200
Fax: 973-266-3302

Mailing Address

South Center Street Nursing Llc
14c 53rd St
Suite 220
Brooklyn, NY, US
ZIP 112322644
Phone: 718-567-0400
Fax: 718-567-0600

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
6799302 NJ MEDICAID 05
6799311 NJ MEDICAID 05

Other Providers in NJ, US

NPI Name Taxonomy Address

1477277028

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MRS. L.P.C. Sally Rose Sauter

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PSYD Jed D Seltzer

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MRS. LPC Heidi Anne Schnorr

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Tiffany Knight

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Organization

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Caim Counseling Llc

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LPC Alexis Kilduff

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Unit 4 #1006

Turnersville, NJ

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OTR/L Roua Mohamed

Individual

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MSW, LSW Meredith Kaufman Roth

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4 Forest Ave

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1073184990

OTR/L Meaghan Myers

Individual

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4 Maple Ave

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MS. MS, LPC, NCC, CTMH Crystal C Robinson

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Global Medicine Llc

Organization

Internal Medicine Physician

27 S Franklin Tpke # 302

Ramsey, NJ

1396719688

MR. Harold Scott JR.

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222 New Rd

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1790400158

DR. PHARMD Heather Roni Pass

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4008 Route 9 N

Morganville, NJ

1245848472

PA-C Meghan Sue Fullarton

Individual

Surgical Physician Assistant

570 South Ave E Bldg A

Cranford, NJ

1518199892

LCSW Nancy F. Perez

Individual

Clinical Social Worker

890 Mountain Ave

New Providence, NJ

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