Three Woodbury Mews, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

35A010 Issued in NJ

Legal business name

THREE WOODBURY MEWS, LLC

Practice address

124 Green Ave
Woodbury, NJ 08096-2768

Phone

(856) 384-6600

Fax

(856) 384-6648

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By 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. Lorne Schechter

Title

Vice President

Phone

(516) 496-1505

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184763609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962768",
            "telephone_number": "856-384-6600",
            "fax_number": "856-384-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962768",
            "telephone_number": "856-384-6600",
            "fax_number": "856-384-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE WOODBURY MEWS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHECHTER",
        "authorized_official_first_name": "LORNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-496-1505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "35A010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018791",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Institute of Allergy,Immunology & Asthma for Adults and Children P
• The Potential in US LLC
• The Potential in US LLC
• The Potential in US LLC
• Three WM Operating LLC (Three Woodbury Mews)
• Thrive Together Support Homes LLC
• Samir S Tilak, M.D.
• Ross L Titton, M.D.
• Steven Torres, MS
• Christina M Tortella, CRNA

• Assisted Living Facility in Woodbury, NJ
• Providers in Woodbury, 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 Aug 22, 2020; 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.