Residence at Park Ridge LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RESIDENCE AT PARK RIDGE LLC

Practice address

124 Noyes Dr
Park Ridge, NJ 07656-1294

Phone

(201) 782-0440

Fax

(201) 782-0899

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Edward Friedman

Title

E VP

Phone

(201) 782-0440

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1154059178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NOYES DR",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561294",
            "telephone_number": "201-782-0440",
            "fax_number": "201-782-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NOYES DR",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561294",
            "telephone_number": "201-782-0440",
            "fax_number": "201-782-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENCE AT PARK RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "E VP",
        "authorized_official_telephone_number": "201-782-0440"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Park Ridge, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.