NPIMap

Organization Active NPI

County of Passaic Department of Finance

  • Skilled Nursing Facility
  • Wayne, NJ
National Provider Identifier
1033612403
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061617
Legal business name
COUNTY OF PASSAIC DEPARTMENT OF FINANCE
Practice address
305 Oldham Road
Wayne, NJ 07470
Phone
(973) 585-2189
Fax
(973) 790-1903
NPI assigned
Mar 13, 2018
Organization subpart
Yes
Parent organization
COUNTY OF PASSAIC DEPARTMENT OF FINANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Mr. Thomas Gerard Williamson
Title
Fiscal Officer
Phone
(973) 585-2189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061617 Primary

Addresses

Primary practice location

305 Oldham Road
Wayne, NJ 07470

Mailing address

305 Oldham Road
Wayne, NJ 07470
Phone (973) 585-2189

Other identifiers 1

IdentifierTypeStateIssuer
0253596MedicaidNJ

Other names 1

  • Preakness Healthcare Center, Ventilator Dependant Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Preakness Hospital6 organizations share this tax ID, including this one
Part of
Preakness Hospital

Other organizations with this tax ID 5

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": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1033612403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 OLDHAM ROAD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-585-2189",
            "fax_number": "973-790-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 OLDHAM ROAD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-585-2189",
            "fax_number": "973-790-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PASSAIC DEPARTMENT OF FINANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF PASSAIC DEPARTMENT OF FINANCE",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "973-585-2189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": "061617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253596",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preakness Healthcare Center, Ventilator Dependant Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.