Mr of Teaneck LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060217 Issued in NJ

Legal business name

MR OF TEANECK LLC

Doing business as

Teaneck Nursing Center

Practice address

1104 Teaneck Rd
Teaneck, NJ 07666-4800

Phone

(201) 833-2400

NPI assigned

Aug 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fischel Rispler

Title

Manager

Phone

(201) 488-6789

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teaneck Nursing Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Eli S Djebiyan, MD

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1841215969
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043228430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ",
            "address_2": "SUITE 206",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016201",
            "telephone_number": "201-488-6789",
            "fax_number": "201-488-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664800",
            "telephone_number": "201-833-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR OF TEANECK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RISPLER",
        "authorized_official_first_name": "FISCHEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-488-6789"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4463901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teaneck Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Mosley, DO
• Gabriela Titiana Mosqueda
• Mount Sion Healthcare Systems, LLC
• Movement Solutions Physical Therapy, LLC
• Moving on Lfe Center
• Ms Comprehensive Care Center
• Ms Comprehensive Care Center
• Nancy Linda Muhlstock, P.T.
• Muldrow Footcare LLC
• Cynthia Adele Mullins, MASTER'S DEGREE

• Skilled Nursing Facility in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Skilled Nursing Facility in New Jersey

• 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.
• 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.

Verify at the official NPI Registry.