Active NPI
Cranford Park Rehabilitation and Healthcare Center, LLC
- Skilled Nursing Facility
- Cranford, NJ
National Provider Identifier
1003238130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 62005
- Legal business name
- CRANFORD PARK REHABILITATION AND HEALTHCARE CENTER, LLC
- Practice address
- 600 Lincoln Park East
Cranford, NJ 07016 - Phone
- (908) 276-7100
- NPI assigned
- Jan 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Usher Egert
- Title
- VP of Operations
- Phone
- (908) 276-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 62005 | NJ | Primary |
Addresses
Primary practice location
600 Lincoln Park East
Cranford, NJ 07016
Mailing address
600 Lincoln Park East
Cranford, NJ 07016
Phone (908) 276-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0410772 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415836800000",
"number": "1003238130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LINCOLN PARK EAST",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "07016",
"telephone_number": "908-276-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LINCOLN PARK EAST",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "07016",
"telephone_number": "908-276-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRANFORD PARK REHABILITATION AND HEALTHCARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-08",
"last_updated": "2014-11-13",
"status": "A",
"authorized_official_last_name": "EGERT",
"authorized_official_first_name": "USHER",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "908-276-7100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "62005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0410772",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.