Active NPI
CG Healthcare LLC
- Skilled Nursing Facility
- Cedar Grove, NJ
National Provider Identifier
1225756166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CG HEALTHCARE LLC
- Practice address
- 110 Grove Ave
Cedar Grove, NJ 07009-1436 - Phone
- (973) 571-6600
- NPI assigned
- Aug 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Stern
- Title
- Cfo/Authorized Official
- Phone
- (718) 567-9459
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary | ||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X |
Addresses
Primary practice location
110 Grove Ave
Cedar Grove, NJ 07009-1436
Mailing address
14C 53Rd St
Brooklyn, NY 11232-2644
Other names 1
- ALARIS HEALTH AT CEDAR GROVE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660694400000",
"number": "1225756166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14C 53RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112322644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 GROVE AVE",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091436",
"telephone_number": "973-571-6600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CG HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "CFO/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "718-567-9459"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ALARIS HEALTH AT CEDAR GROVE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.