Organization Active NPI

Regent Care Center, Inc.

  • Skilled Nursing Facility
  • Hackensack, NJ
National Provider Identifier
1104823764
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060231 Issued in NJ
Legal business name
REGENT CARE CENTER, INC.
Practice address
50 Polifly Rd
Hackensack, NJ 07601-3287
Phone
(201) 646-1166
Fax
(201) 487-3835
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Richard Pineles
Title
President
Phone
(201) 489-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060231 NJ Primary

Addresses

Primary practice location

50 Polifly Rd
Hackensack, NJ 07601-3287

Mailing address

50 Polifly Rd
Hackensack, NJ 07601-3287
Phone (201) 646-1166

Other identifiers 2

IdentifierTypeStateIssuer
02830OtherNJNJ
4465504MedicaidNJ

Other names 1

  • Regent Care 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": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1104823764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 POLIFLY RD",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013287",
            "telephone_number": "201-646-1166",
            "fax_number": "201-487-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 POLIFLY RD",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013287",
            "telephone_number": "201-646-1166",
            "fax_number": "201-487-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENT CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "PINELES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-489-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ",
            "identifier": "02830",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4465504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.