Active NPI
Dellridge Health and Rehabilitation Center
- Skilled Nursing Facility
- Paramus, NJ
National Provider Identifier
1013003854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060207
- Legal business name
- DELLRIDGE HEALTH AND REHABILITATION CENTER
- Practice address
- 532 N Farview Ave
Paramus, NJ 07652-4130 - Phone
- (201) 265-5600
- Fax
- (201) 261-3164
- NPI assigned
- Oct 5, 2006
- Last updated
- Aug 9, 2022
- 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. Edward Friedman
- Title
- E VP
- Phone
- (201) 265-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060207 | NJ | Primary |
Addresses
Primary practice location
532 N Farview Ave
Paramus, NJ 07652-4130
Mailing address
532 Farview Avenue
Paramus, NJ 07652
Phone (201) 265-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4464109 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051026000143 | NJ | Part A Provider - Skilled Nursing Facility | 5597782953 | Practice locations: Paramus, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013003854. Details of each certification follow.
Skilled nursing facility certification: CCN 315129
- Legal name
- DELLRIDGE HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 9, 1971
- Last certification
- Dec 19, 2024
- Beds
- 123
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Family of Caring
- Organization structure
- LLC
- Enrollment address
- 532 Farview Avenue
Paramus, NJ 07652-4130 - Nursing home name
- DELLRIDGE HEALTH & REHABILITATION CENTER
- Affiliated entity
- FAMILY OF CARING HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Dellridge Health & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 9, 1971
- Medicare certification status
- Active
- Certified beds
- 123
- Chain
- Family of Caring Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- Dellridge Health and Rehabilitation Cent
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Paramus, NJ
- NPI 1790820157
-
- Skilled Nursing Facility
- Woodcliff Lake, NJ
- NPI 1962476705
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Mar 31, 2025 | ||
| Edward Friedman | 5% Or Greater Direct Ownership Interest | Mar 1, 2005 | 10% |
| Corporate Officer | Mar 1, 2005 | 10% | |
| Corporate Director | Mar 1, 2005 | 10% | |
| Operational/Managerial Control | Mar 1, 2005 | ||
| Adp of the SNF | Mar 31, 2025 | ||
| Nathan Friedman | 5% Or Greater Direct Ownership Interest | Mar 1, 2005 | 90% |
| Corporate Officer | Mar 1, 2005 | 90% | |
| Operational/Managerial Control | Mar 1, 2005 | 90% |
Practitioners & affiliated clinicians
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Ridgewood, NJ
- NPI 1316987019
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660003200000",
"number": "1013003854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 FARVIEW AVENUE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "07652",
"telephone_number": "201-265-5600",
"fax_number": "265-261-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 N FARVIEW AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524130",
"telephone_number": "201-265-5600",
"fax_number": "201-261-3164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELLRIDGE HEALTH AND REHABILITATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "E VP",
"authorized_official_telephone_number": "201-265-5600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4464109",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.