Active NPI
Waters Edge Care and Rehab Center LLC
- Skilled Nursing Facility
- Trenton, NJ
National Provider Identifier
1144050659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WATERS EDGE CARE AND REHAB CENTER LLC
- Practice address
- 512 Union St
Trenton, NJ 08611-2800 - Phone
- (609) 393-8622
- NPI assigned
- Aug 7, 2024
- 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
- Naftoli Abramczyk
- Title
- Operator
- Phone
- (732) 534-8402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
512 Union St
Trenton, NJ 08611-2800
Mailing address
231 Warner St
Toms River, NJ 08755-1028
Phone (732) 534-8402
Other names 1
- TRENTON GARDENS REHABILITATION AND NURSING 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 |
|---|---|---|---|---|
| O20250317000646 | NJ | Part A Provider - Skilled Nursing Facility | 8628590924 | Practice locations: Trenton, NJ |
Skilled nursing facility certification: CCN 315324
- Legal name
- WATERS EDGE CARE AND REHAB CENTER LLC
- Doing business as
- TRENTON GARDENS REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 15, 1993
- Last certification
- May 10, 2024
- Beds
- 215
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 512 Union St
Trenton, NJ 08611-2800 - Nursing home name
- TRENTON GARDENS REHABILITATION AND NURSING CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Trenton Gardens Rehabilitation and Nursing Center
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 15, 1993
- Medicare certification status
- Active
- Certified beds
- 215
- Special focus status
- SFF
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Bradley Shapiro | 5% Or Greater Direct Ownership Interest | Jul 25, 2024 | 18.25% |
| Martin Friedman Cpa PC | Adp of the SNF | Jul 25, 2024 | |
| Waters Edge Propco LCC | Adp of the SNF | Mar 15, 2024 | |
| Jacob Abramczyk | 5% Or Greater Direct Ownership Interest | Jul 25, 2024 | 48.25% |
| Operational/Managerial Control | Jul 25, 2024 | ||
| Adp of the SNF | Mar 15, 2024 | ||
| Shodhan Patel | Operational/Managerial Control | Jul 25, 2024 | |
| Adp of the SNF | Jul 25, 2024 | ||
| Joseph Abramczyk | 5% Or Greater Direct Ownership Interest | Jul 25, 2024 | 15.25% |
| Adp of the SNF | Mar 15, 2024 | ||
| Bentzlon Friedman | Operational/Managerial Control | Jul 25, 2024 | |
| Adp of the SNF | Jul 25, 2024 | ||
| Naftoli Abramczyk | 5% Or Greater Direct Ownership Interest | Jul 25, 2024 | 18.25% |
| Operational/Managerial Control | Jul 25, 2024 | ||
| Adp of the SNF | Mar 15, 2024 | ||
| Sima Shapiro | 5% Or Greater Indirect Ownership Interest | Mar 15, 2024 | |
| Adp of the SNF | Mar 15, 2024 | ||
| Mary Finn | Operational/Managerial Control | Jul 25, 2024 | |
| Adp of the SNF | Jul 25, 2024 | ||
| Ttyy LLC | Adp of the SNF | Mar 15, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Trenton, NJ
- NPI 1457368680
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1722988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1144050659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 WARNER ST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087551028",
"telephone_number": "732-534-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 UNION ST",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086112800",
"telephone_number": "609-393-8622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERS EDGE CARE AND REHAB CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "ABRAMCZYK",
"authorized_official_first_name": "NAFTOLI",
"authorized_official_title_or_position": "OPERATOR",
"authorized_official_telephone_number": "732-534-8402"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TRENTON GARDENS REHABILITATION AND NURSING 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 Aug 7, 2024; 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.