NPIMap

Organization Active NPI

Newcastle Place, Inc.

  • Skilled Nursing Facility
  • Mequon, WI
National Provider Identifier
1093799272
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
235 Issued in WI
Legal business name
NEWCASTLE PLACE, INC.
Practice address
12600 N Port Washington Rd
#100
Mequon, WI 53092-3469
Phone
(262) 387-8801
Fax
(262) 387-8894
NPI assigned
Dec 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Marjorie Gozdowiak, ADMIN, COO
Title
Administrator - Coo
Phone
(262) 387-8801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1999 WI
Skilled Nursing Facility 314000000X 235 WI Primary

Addresses

Primary practice location

12600 N Port Washington Rd
#100
Mequon, WI 53092-3469

Mailing address

12600 N Port Washington Rd
#100
Mequon, WI 53092-3469
Phone (262) 387-8801

National Provider Directory

National Provider Directory

Locations

12600 N Port Washington Rd
Ste 100
Mequon, WI 53092
Phone (262) 387-8801

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093799272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 N PORT WASHINGTON RD",
            "address_2": "#100",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923469",
            "telephone_number": "262-387-8801",
            "fax_number": "262-387-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 N PORT WASHINGTON RD",
            "address_2": "#100",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923469",
            "telephone_number": "262-387-8801",
            "fax_number": "262-387-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCASTLE PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOZDOWIAK",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "ADMINISTRATOR - COO",
        "authorized_official_telephone_number": "262-387-8801",
        "authorized_official_credential": "ADMIN, COO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "1999",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.