Organization Active NPI

Hartwyck at Oak Tree, Inc

  • Skilled Nursing Facility
  • Edison, NJ
National Provider Identifier
1174746317
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061218 Issued in NJ
Legal business name
HARTWYCK AT OAK TREE, INC
Doing business as
Hartwyck at Oak Tree
Practice address
2048 Oak Tree Rd
Edison, NJ 08820-2012
Phone
(732) 906-2100
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Thomas Lankey
Title
Sr VP for LTC Facilities
Phone
(732) 321-7890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061218 NJ Primary

Addresses

Primary practice location

2048 Oak Tree Rd
Edison, NJ 08820-2012

Mailing address

98 James St
4TH Floor
Edison, NJ 08820-3902

Other identifiers 6

IdentifierTypeStateIssuer
1263TMedicaidNJ
1263VMedicaidNJ
4484002MedicaidNJ
4485602MedicaidNJ
12638MedicaidNJ
4484100MedicaidNJ

Other names 2

  • Hartwyck at Oak Tree Doing business as
  • JFK Hartwyck at Oak Tree Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

98 James St
Fl 4
Edison, NJ 08820
Phone (732) 321-7907

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1174746317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 JAMES ST",
            "address_2": "4TH FLOOR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202012",
            "telephone_number": "732-906-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTWYCK AT OAK TREE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "LANKEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SR VP FOR LTC FACILITIES",
        "authorized_official_telephone_number": "732-321-7890"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1263T",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1263V",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4484002",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4485602",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12638",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4484100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartwyck at Oak Tree",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JFK Hartwyck at Oak Tree",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.