Pines Village, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PINES VILLAGE, INC.

Doing business as

The Pines at Whiting

Practice address

509 Route 530
Whiting, NJ 08759-3145

Phone

(732) 849-0400

Fax

(732) 350-0540

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Kathleen M Miller

Title

Business Office Manager

Phone

(732) 849-2011

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Pines at Whiting Doing business as

Tax ID family

Keswick Pines Inc2 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.

• Pines Village, Inc.

  • Skilled Nursing Facility
  • Whiting, NJ
  • NPI 1104992528
  NPD tax ID

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1184008237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ROUTE 530",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087593145",
            "telephone_number": "732-849-0400",
            "fax_number": "732-350-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ROUTE 530",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087593145",
            "telephone_number": "732-849-0400",
            "fax_number": "732-350-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "732-849-2011"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "656000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7225008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pines at Whiting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pines at Whiting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gene L Payumo, M.D.
• Barry R Perlman, DMD
• Hillary Petetti
• Mary Kathleen Pettrow, BA
• Pines Village, Inc.
• Dominic Pisano, DMD
• Tina Marie Pryor, PMHNP-BC
• Rajshil LLC (Medicine Shoppe)
• Adrian Reyes Ramos, FNP-C
• Rem New Jersey, Inc.

• Assisted Living Facility in Whiting, NJ
• Providers in Whiting, 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 Sep 5, 2023; 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.