Active NPI
Shi-IV SHD Tinton Falls, NJ
- Assisted Living Facility
- Tinton Falls, NJ
National Provider Identifier
1124817531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SHI-IV SHD TINTON FALLS, NJ
- Practice address
- 1530 West Park Ave
Tinton Falls, NJ 07712 - Phone
- (732) 587-5400
- Fax
- (732) 587-5400
- NPI assigned
- May 2, 2025
- 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
- Andrew Kahane, LNHA
- Title
- Executive Director
- Phone
- (732) 587-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1530 West Park Ave
Tinton Falls, NJ 07712
Mailing address
366 N Broadway Ste 307
Jericho, NY 11753-2000
Phone (732) 587-5400
Other names 1
- All American @ Tinton Falls
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2302146 | Shi-IV SHD Tinton Falls | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
366 N Broadway
Ste 307
Jericho, NY 11753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746144000000",
"number": "1124817531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 N BROADWAY STE 307",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532000",
"telephone_number": "732-587-5400",
"fax_number": "732-587-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 WEST PARK AVE",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "07712",
"telephone_number": "732-587-5400",
"fax_number": "732-587-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHI-IV SHD TINTON FALLS, NJ",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A",
"authorized_official_last_name": "KAHANE",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "732-587-5400",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "All American @ Tinton Falls",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.