Hazlet Manor Associates

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061303 Issued in NJ

Legal business name

HAZLET MANOR ASSOCIATES

Doing business as

Regency Park Nursing Center

Practice address

3325 Highway 35
Hazlet, NJ 07730-1552

Phone

(732) 264-5800

Fax

(732) 264-7995

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Aaron Stefansky

Title

Controller

Phone

(732) 730-9280

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Regency Park Nursing Center Doing business as

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1194852327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 CROSS STREET",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-730-9280",
            "fax_number": "732-730-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 HIGHWAY 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301552",
            "telephone_number": "732-264-5800",
            "fax_number": "732-264-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLET MANOR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "STEFANSKY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-730-9280"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NJ",
            "license": "55C000",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4490207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Park Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabine Hasan
• Carolyn Haverlin, RPH
• Hazlet Family Dental
• Hazlet Garden Group, LLC (Anchor Care and Rehabilitation Center)
• Hazlet Health Care
• Hazlet Medical Services LLC
• Hazlet Medical Supplies
• Hazlet Pharmacy Inc.
• Hazlet Township Public Schools
• Hazlet-Aberdeen Health Department

• Skilled Nursing Facility in Hazlet, NJ
• Providers in Hazlet, 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 Sep 29, 2009; 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.