Active NPI
Jewish Home at Rockleigh
- Skilled Nursing Facility
- Rockleigh, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- JZ24OP
- Legal business name
- JEWISH HOME AT ROCKLEIGH
- Practice address
- 10 Link Dr
Rockleigh, NJ 07647-2504 - Phone
- (201) 784-1414
- Fax
- (201) 750-4266
- NPI assigned
- Feb 5, 2007
- 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
- Mrs. Sunni Herman
- Title
- Executive Vice President
- Phone
- (201) 750-4236
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | JZ24OP | NJ | Primary |
Addresses
Primary practice location
10 Link Dr
Rockleigh, NJ 07647-2504
Mailing address
10 Link Dr
Rockleigh, NJ 07647-2504
Phone (201) 784-1414
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025304 | Other | NJ | WELLCOICE NEW JERSEY ID |
| 7773498 | Other | NJ | AETNA PPO ID |
| 8749001 | Medicaid | NJ | |
| 3223879 | Other | NJ | AETNA HMO ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100114000454 | NJ | Part A Provider - Skilled Nursing Facility | 9335280221 | Practice locations: Rockleigh, NJ |
Skilled nursing facility certification: CCN 315473
- Legal name
- JEWISH HOME AT ROCKLEIGH
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 18, 2002
- Last certification
- Jan 26, 2024
- Beds
- 196
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 28, 1996 in NJ
- Enrollment address
- 10 Link Dr
Rockleigh, NJ 07647-2504 - Nursing home name
- JEWISH HOME AT ROCKLEIGH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Jewish Home at Rockleigh
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 18, 2002
- Medicare certification status
- Active
- Certified beds
- 196
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Harvey R Gross | Contracted Managing Employee | Jan 1, 2001 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Aryeh Markowitz | W-2 Managing Employee | Jun 1, 2023 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Carol Elliott | Corporate Officer | Oct 12, 2014 | |
| Brandy Stefanco | Corporate Officer | Jun 30, 2003 | |
| Jewish Home at Rockleigh | 5% Or Greater Direct Ownership Interest | Jun 28, 1996 | 100% |
| Adp of the SNF | Jan 16, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Englewood, NJ
- NPI 1407897689
Adp of the SNF, Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Englewood, NJ
- NPI 1407897689
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Englewood, NJ
- NPI 1407897689
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Fort Lee, NJ
- NPI 1588764005
Nursing home
-
- Internal Medicine Physician
- East Orange, NJ
- NPI 1407146699
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Englewood, NJ
- NPI 1972696409
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1104965615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LINK DR",
"city": "ROCKLEIGH",
"state": "NJ",
"postal_code": "076472504",
"telephone_number": "201-784-1414",
"fax_number": "201-750-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LINK DR",
"city": "ROCKLEIGH",
"state": "NJ",
"postal_code": "076472504",
"telephone_number": "201-784-1414",
"fax_number": "201-750-4266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWISH HOME AT ROCKLEIGH",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "SUNNI",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "201-750-4236",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "JZ24OP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCOICE NEW JERSEY ID",
"identifier": "025304",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO ID",
"identifier": "7773498",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8749001",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO ID",
"identifier": "3223879",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockleigh, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.