The Sycamore Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

55A007 Issued in NJ

Legal business name

THE SYCAMORE ASSISTED LIVING

Practice address

5 Meridian Way
Shrewsbury, NJ 07702-4353

Phone

(732) 212-2600

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis A Deyo

Title

Director LTC Accounts

Phone

(732) 206-8003

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Careret Senior Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Careret Senior Living

  • Assisted Living Facility
  • Elizabeth, NJ
  • NPI 1992845150
  NPD tax ID

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154461234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MERIDIAN WAY",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024353",
            "telephone_number": "732-212-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MERIDIAN WAY",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024353",
            "telephone_number": "732-212-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SYCAMORE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEYO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR LTC ACCOUNTS",
        "authorized_official_telephone_number": "732-206-8003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "55A007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8703400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Elizabeth Szymanek, DNP, APN
• Michael Andrew Tavill, MD
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• Kelsie N Teehan
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• The Therapy Institute, LLC
• Leonardo H Thomas, OTR/L
• Jean Thompson, MS CCC-SLP
• Samantha Paige Thurman, PT,DPT
• Tidewatch Physical Therapy, LLC

• Assisted Living Facility in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.