Organization Active NPI

Mercer County Geriatric Center

  • Skilled Nursing Facility
  • Hamilton, NJ
National Provider Identifier
1003805680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061103 Issued in NJ
Legal business name
MERCER COUNTY GERIATRIC CENTER
Practice address
2300 Hamilton Ave
Hamilton, NJ 08619-3007
Phone
(609) 588-5802
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert F. Ecroyd, RN, MBA, MS, LNHA
Title
Administrator
Phone
(609) 588-5802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061103 NJ Primary

Addresses

Primary practice location

2300 Hamilton Ave
Hamilton, NJ 08619-3007

Mailing address

2300 Hamilton Ave
Hamilton, NJ 08619-3007
Phone (609) 588-5802

Other identifiers 1

IdentifierTypeStateIssuer
4483502MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Hamilton Grove Healthcare Rehabilitati2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003805680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAMILTON AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193007",
            "telephone_number": "609-588-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAMILTON AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193007",
            "telephone_number": "609-588-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY GERIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECROYD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-588-5802",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, MBA, MS, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4483502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.