Organization Active NPI

Gramercy Operating Co, Inc.

  • Skilled Nursing Facility
  • Cherry Hill, NJ
National Provider Identifier
1083613350
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1180096 Issued in FL
Legal business name
GRAMERCY OPERATING CO, INC.
Doing business as
Gramercy Park Nursing Center
Practice address
1114 Wynnwood Ave
Cherry Hill, NJ 08002-3256
Phone
(856) 663-4044
Fax
(856) 665-5708
NPI assigned
Jul 19, 2005
Organization subpart
Yes
Parent organization
SENIORS MANAGEMENT NORTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Mr. Lenard Brown
Title
C.F.O.
Phone
(856) 663-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1180096 FL Primary

Addresses

Primary practice location

1114 Wynnwood Ave
Cherry Hill, NJ 08002-3256

Mailing address

17475 S Dixie Hwy
Miami, FL 33157-5434
Phone (305) 255-1045

Other identifiers 1

IdentifierTypeStateIssuer
021402700MedicaidFL

Other names 1

  • Gramercy Park Nursing Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1083613350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17475 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331575434",
            "telephone_number": "305-255-1045",
            "fax_number": "856-665-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 WYNNWOOD AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023256",
            "telephone_number": "856-663-4044",
            "fax_number": "856-665-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY OPERATING CO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIORS MANAGEMENT NORTH, INC.",
        "enumeration_date": "2005-07-19",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LENARD",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "856-663-4044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1180096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021402700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gramercy Park Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.