Organization Active NPI

Summer Hill Nursing Home

  • Skilled Nursing Facility
  • Old Bridge, NJ
National Provider Identifier
1194710343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061210 Issued in NJ
Legal business name
SUMMER HILL NURSING HOME
Practice address
111 Route 516
Old Bridge, NJ 08857-1421
Phone
(732) 254-8200
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ari Stern, LNHA
Title
Administrator
Phone
(732) 254-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061210 NJ Primary

Addresses

Primary practice location

111 Route 516
Old Bridge, NJ 08857-1421

Mailing address

111 Route 516
Old Bridge, NJ 08857-1421

Other identifiers 1

IdentifierTypeStateIssuer
4484509MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194710343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571421",
            "telephone_number": "732-254-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER HILL NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-254-8200",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4484509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • 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.