Active NPI
Brunswick Garden Group LLC
- Skilled Nursing Facility
- Trenton, NJ
National Provider Identifier
1104574755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRUNSWICK GARDEN GROUP LLC
- Practice address
- 1314 Brunswick Ave
Trenton, NJ 08638-3316 - Phone
- (609) 656-9291
- NPI assigned
- Mar 14, 2022
- 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
- Sam Stern
- Title
- Cfo
- Phone
- (877) 567-0402
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1314 Brunswick Ave
Trenton, NJ 08638-3316
Mailing address
14C 53Rd St
Brooklyn, NY 11232-2644
Phone (877) 567-0402
Other names 1
- Avant Rehabilitation and Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220601001658 | NJ | Part A Provider - Skilled Nursing Facility | 1759769821 | Practice locations: Trenton, NJ |
Skilled nursing facility certification: CCN 315455
- Legal name
- BRUNSWICK GARDEN GROUP LLC
- Doing business as
- AVANT REHABILITATION AND CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 23, 1999
- Last certification
- Mar 21, 2024
- Beds
- 149
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Jun 16, 2021 in NJ
- Enrollment address
- 1314 Brunswick Ave
Trenton, NJ 08638-3316 - Nursing home name
- AVANT REHABILITATION AND CARE CENTER
- Affiliated entity
- ACCELA HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Avant Rehabilitation and Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jun 23, 1999
- Medicare certification status
- Active
- Certified beds
- 149
- Chain
- Accela Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Cheskel David Berkowitz | 5% Or Greater Direct Ownership Interest | Dec 29, 2021 | 23.33% |
| Joseph Orgel | 5% Or Greater Direct Ownership Interest | Dec 29, 2021 | 10% |
| Samuel Stern | Corporate Officer | Dec 29, 2021 | |
| Marton Ornstein | 5% Or Greater Direct Ownership Interest | Dec 29, 2021 | 10% |
| David Rubenstein | 5% Or Greater Direct Ownership Interest | Dec 29, 2021 | 10% |
| Riten Pandya | W-2 Managing Employee | Dec 29, 2021 | |
| Joel Zupnick | 5% Or Greater Direct Ownership Interest | Dec 29, 2021 | 23.33% |
| Joel Leifer | 5% Or Greater Direct Ownership Interest | Dec 29, 2021 | 23.34% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- North Bergen, NJ
- NPI 1770569568
-
- Internal Medicine Physician
- Levittown, PA
- NPI 1699266114
Affiliated clinicians 5
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": "1647216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1104574755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14C 53RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112322644",
"telephone_number": "877-567-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 BRUNSWICK AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086383316",
"telephone_number": "609-656-9291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNSWICK GARDEN GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "877-567-0402"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avant Rehabilitation and Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.