Pope John II Pavillion

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

POPE JOHN II PAVILLION

Practice address

135 S Center St
Orange, NJ 07050-3522

Phone

(973) 266-3200

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Chavie Katz

Title

Billing Manager

Phone

(718) 567-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pope John II Pavillion2 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.

• Pope John II Pavillion

  • Skilled Nursing Facility
  • Orange, NJ
  • NPI 1811032519
  NPD tax ID

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1174780993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112324316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S CENTER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503522",
            "telephone_number": "973-266-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE JOHN II PAVILLION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "CHAVIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-567-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6799311",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Camille Poblete
• Richard Pokorny, MSTOM
• Pope John II Pavillion
• Jenniffer Portorreal Escoto
• Primary Medical Care Professional
• Pyramid House Foundation, Inc
• Pyramid House Foundation, Inc

• Skilled Nursing Facility in Orange, NJ
• Providers in Orange, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.