Active NPI
Marcus L. Ward Home
- Assisted Living Facility
- Maplewood, NJ
National Provider Identifier
1063556629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 30A000
- Legal business name
- MARCUS L. WARD HOME
- Practice address
- 333 Elmwood Ave
Maplewood, NJ 07040-2491 - Phone
- (973) 762-5050
- Fax
- (973) 763-3155
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Garrett T Midgett III
- Title
- Cfo
- Phone
- (732) 430-3675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 30A000 | NJ | Primary |
Addresses
Primary practice location
333 Elmwood Ave
Maplewood, NJ 07040-2491
Mailing address
333 Elmwood Ave
Maplewood, NJ 07040-2491
Phone (973) 762-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8025401 | Medicaid | NJ |
Other names 1
- Winchester Gardens
National Provider Directory
National Provider Directory- Tax ID family
- Marcus L Ward Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Maplewood, NJ
- NPI 1265948988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1063556629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ELMWOOD AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402491",
"telephone_number": "973-762-5050",
"fax_number": "973-763-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ELMWOOD AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402491",
"telephone_number": "973-762-5050",
"fax_number": "973-763-3155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCUS L. WARD HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "MIDGETT",
"authorized_official_first_name": "GARRETT",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "732-430-3675",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NJ",
"license": "30A000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8025401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Winchester Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maplewood, NJ
- Maplewood Medical Associates, P.a.
- Maplewood Village Pharmacy LLC
- Maplewood Vision Care, LLC
- Maplewood Wellness Center
- Marcus L Ward Home, Inc.
- Marigold Pediatric Dentistry and Orthodontics
- Janine Marley, RNC, IBCLC
- Yvette Marshall, LPC
- Martin a. Silverman, M.D., P.a.
- Marven Wallen & S. Kenneth Jacobson, MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.