Chestnut Hill Residence

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

16A001 Issued in NJ

Legal business name

CHESTNUT HILL RESIDENCE

Practice address

338 Chestnut St
Passaic, NJ 07055-3158

Phone

(973) 777-7800

Fax

(973) 778-9013

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Roger S Requejo

Title

Controller

Phone

(973) 777-7800

Specialties & licenses 1

Addresses

Tax ID family

Chestnut Hill Residence3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chestnut Hill Convalescent Center

  • Skilled Nursing Facility
  • Passaic, NJ
  • NPI 1609860287
  NPD tax ID
• Chestnut Hill Residence

  • Assisted Living Facility
  • Passaic, NJ
  • NPI 1275674970
  NPD tax ID

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1184889818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 CHESTNUT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553158",
            "telephone_number": "973-777-7800",
            "fax_number": "973-778-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 CHESTNUT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553158",
            "telephone_number": "973-777-7800",
            "fax_number": "973-778-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "REQUEJO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "973-777-7800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "16A001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose M Chavez-Cacho, M.D.
• Chaya Sorscher Ms CCC-SLP/a
• Tin M Chen, P.A.
• Chestnut Hill Convalescent & Rehabilitation Center
• Chestnut Hill Convalescent Center
• Chestnut Hill Residence
• Chestnut Hill Residences by Complete Care
• Chestnut Plaza Dental Center PA
• Chestnuthill Physicians Group
• Gurmeet Chhabra, M.D.

• Assisted Living Facility in Passaic, NJ
• Providers in Passaic, 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 Jul 22, 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.