Stratford Manor Rehabilitation and Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060714 Issued in NJ

Legal business name

STRATFORD MANOR REHABILITATION AND CARE CENTER LLC

Practice address

787 Northfield Ave
West Orange, NJ 07052-1131

Phone

(973) 731-4500

NPI assigned

Dec 30, 2015

Last updated

Dec 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Moshe Brodt

Title

Member

Phone

(917) 379-8074

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Stratford Manor Rehab and Care Ctr2 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.

• Stratford Manor Rehabilitation and Care Center LLC

  • Skilled Nursing Facility
  • West Orange, NJ
  • NPI 1912276882
  NPD tax ID

Locations

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1184089427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521131",
            "telephone_number": "973-731-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521131",
            "telephone_number": "973-731-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD MANOR REHABILITATION AND CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "BRODT",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-379-8074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464031",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frada R. Stone, MSW, LCSW
• Stonegate Dental LLC
• Ariel Stoner, DPT
• Straight Set Orthodontics LLC
• Stratford Manor Care & Rehabilitation Center LLC
• Stratford Manor Rehabilitation and Care Center LLC
• Lauren Beth Strober
• Summit Medical Group PA
• Summit Medical Group PA
• Summit Ridge Care LLC

• Skilled Nursing Facility in West Orange, NJ
• Providers in West 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 Dec 30, 2015; 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.