NPIMap

Organization Active NPI

Pavilions at Forrestal

  • Respite Care
  • Princeton, NJ
National Provider Identifier
1023364502
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
62202 Issued in NJ
Legal business name
PAVILIONS AT FORRESTAL
Practice address
5000 Windrow Dr
Princeton, NJ 08540-5003
Phone
(609) 987-1221
Fax
(609) 987-0619
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Mrs. Carol Cavanagh
Title
C.F.O.
Phone
(973) 694-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 62202 NJ Primary

Addresses

Primary practice location

5000 Windrow Dr
Princeton, NJ 08540-5003

Mailing address

5000 Windrow Dr
Princeton, NJ 08540-5003
Phone (609) 987-1221

Other identifiers 1

IdentifierTypeStateIssuer
0295264MedicaidNJ

Other names 1

  • Atrium at Princeton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atrium at Princeton LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1023364502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WINDROW DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405003",
            "telephone_number": "609-987-1221",
            "fax_number": "609-987-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WINDROW DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405003",
            "telephone_number": "609-987-1221",
            "fax_number": "609-987-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILIONS AT FORRESTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "CAVANAGH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "973-694-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NJ",
            "license": "62202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295264",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium at Princeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.