Active NPI
Hartwyck at Oak Tree, Inc
- Skilled Nursing Facility
- Edison, NJ
National Provider Identifier
1174746317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 061218
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1263T | Medicaid | NJ | |
| 1263V | Medicaid | NJ | |
| 4484002 | Medicaid | NJ | |
| 4485602 | Medicaid | NJ | |
| 12638 | Medicaid | NJ | |
| 4484100 | Medicaid | NJ |
Other names 2
- Hartwyck at Oak Tree
- JFK Hartwyck at Oak Tree
National Provider Directory
National Provider DirectoryMember 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.
-
- Ophthalmology Physician
- Edison, NJ
- NPI 1710948674
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.