NPIMap

Organization Active NPI

North Jersey Pediatric and Adult Nursing and Wellness Center, LLC

  • Pediatric Skilled Nursing Facility
  • Haskell, NJ
National Provider Identifier
1023657475
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
NORTH JERSEY PEDIATRIC AND ADULT NURSING AND WELLNESS CENTER, LLC
Practice address
1433 Ringwood Ave
Haskell, NJ 07420-1520
Phone
(732) 328-6610
NPI assigned
Jan 2, 2020
Last updated
Jan 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Abraham Kraus
Title
Ceo
Phone
(732) 328-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

1433 Ringwood Ave
Haskell, NJ 07420-1520

Mailing address

1433 Ringwood Ave
Haskell, NJ 07420-1520

National Provider Directory

National Provider Directory
Tax ID family
North Jersey Pediatric and Adult Nursing and Wellness Center LLC2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1023657475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 RINGWOOD AVE",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 RINGWOOD AVE",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201520",
            "telephone_number": "732-328-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY PEDIATRIC AND ADULT NURSING AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-328-6610"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haskell, NJ

Sources for this page

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