NPIMap

Organization Active NPI

Laurel Bay Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Keansburg, NJ
National Provider Identifier
1043370596
Registry record updated Oct 26, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061333 Issued in NJ
Legal business name
LAUREL BAY HEALTH AND REHABILITATION CENTER
Practice address
32 Laurel Ave
Keansburg, NJ 07734-1125
Phone
(732) 787-8100
Fax
(732) 787-9042
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mr. David Dennin
Title
Cfo
Phone
(732) 787-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061333 NJ Primary

Addresses

Primary practice location

32 Laurel Ave
Keansburg, NJ 07734-1125

Mailing address

32 Laurel Ave
Keansburg, NJ 07734-1125
Phone (732) 787-8100

Other identifiers 1

IdentifierTypeStateIssuer
4489306MedicaidNJ

Other names 1

  • BEACHVIEW CARE AND REHAB CENTER Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071025000056 NJ Part A Provider - Skilled Nursing Facility 8921195884 Practice locations: Keansburg, NJ

Skilled nursing facility certification: CCN 315437

Legal name
LAUREL BAY HEALTH AND REHABILITATION CENTER
Doing business as
BEACHVIEW CARE & REHABILITATION CENTER INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 18, 1998
Last certification
Jan 7, 2025
Beds
123
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 27, 2003 in NJ
Enrollment address
32 Laurel Ave
Keansburg, NJ 07734-1125
Nursing home name
LAUREL BAY HEALTH & REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Laurel Bay Health & Rehabilitation CenterCCN 315437
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 18, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12386.3 residents per day on average
Penalties (3 years)
1Fines totaling $15,873

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric Greenberger Individual Operational/Managerial Control Feb 1, 2010
Adp of the SNF Feb 1, 2010
Vinutha Raj Individual Adp of the SNF Dec 1, 2025
Joel Willinger Individual 5% Or Greater Direct Ownership Interest Mar 18, 1998 100%
Managing Control - Governing Body Mar 18, 1998
Trustee of the SNF Mar 18, 1998
Adp of the SNF Mar 18, 1998
Direct Ownership Interest Mar 18, 1998

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1043370596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LAUREL AVE",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341125",
            "telephone_number": "732-787-8100",
            "fax_number": "732-787-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LAUREL AVE",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341125",
            "telephone_number": "732-787-8100",
            "fax_number": "732-787-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL BAY HEALTH AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "DENNIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-787-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4489306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACHVIEW CARE AND REHAB CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Keansburg, NJ

Sources for this page

Verify at the official NPI Registry.