NPIMap

Organization Active NPI

Preakness Healthcare Center

  • Skilled Nursing Facility
  • Wayne, NJ
National Provider Identifier
1083738454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061617 Issued in NJ
Legal business name
PREAKNESS HEALTHCARE CENTER
Practice address
305 Oldham Rd
Wayne, NJ 07470-2208
Phone
(973) 904-6040
Fax
(973) 904-9843
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lucinda Corrado, LNHA
Title
Executive Director
Phone
(973) 907-6040

Specialties & licenses 1

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

Addresses

Primary practice location

305 Oldham Rd
Wayne, NJ 07470-2208

Mailing address

305 Oldham Rd
Wayne, NJ 07470-2208
Phone (973) 904-6040

Other identifiers 1

IdentifierTypeStateIssuer
4497317MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Preakness Hospital LTC6 organizations share this tax ID, including this one

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083738454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 OLDHAM RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702208",
            "telephone_number": "973-904-6040",
            "fax_number": "973-904-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 OLDHAM RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702208",
            "telephone_number": "973-904-6040",
            "fax_number": "973-904-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREAKNESS HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORRADO",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-907-6040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4497317",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.