Summer Hill Nursing & Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061210 Issued in NJ

Legal business name

SUMMER HILL NURSING & REHABILITATION CENTER LLC

Doing business as

Summer Hill Nursing Home

Practice address

111 Route 516
Old Bridge, NJ 08857-1421

Phone

(732) 254-8200

NPI assigned

Mar 5, 2013

Last updated

Apr 15, 2013By 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

Sam Stern

Title

Cfo

Phone

(718) 567-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summer Hill Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235470022. Details of each certification follow.

• CCN 315381 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315381

Legal name

SUMMER HILL NURSING & REHABILITATION CENTER LLC

Doing business as

AUTUMN LAKE HEALTHCARE AT OLD BRIDGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1997

Last certification

Oct 8, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

111 Route 516
Old Bridge, NJ 08857-1421

Nursing home name

AUTUMN LAKE HEALTHCARE AT OLD BRIDGE

Affiliated entity

AUTUMN LAKE HEALTHCARE

Listed as

Autumn Lake Healthcare at Old BridgeCCN 315381 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120114.0 residents per day on average

Chain

Autumn Lake Healthcare59 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Alber Moussa, M.D.

  • Internal Medicine Physician
  • East Brunswick, NJ
  • NPI 1740235225

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Albert M Joseph, MD

  • General Practice Physician
  • Fair Lawn, NJ
  • NPI 1518051499

  Nursing home

  Care Compare affiliation
• Marek Robert Lupicki, M.D.

  • Internal Medicine Physician
  • Old Bridge, NJ
  • NPI 1508967746

  Nursing home

  Care Compare affiliation
• Joseph Mathew, MD

  • Internal Medicine Physician
  • Old Bridge, NJ
  • NPI 1225197320

  Nursing home

  Care Compare affiliation
• Edward T Mezic, MD

  • Pulmonary Disease Physician
  • Old Bridge, NJ
  • NPI 1437218435

  Nursing home

  Care Compare affiliation
• Alber Moussa, M.D.

  • Internal Medicine Physician
  • East Brunswick, NJ
  • NPI 1740235225

  Nursing home

  Care Compare affiliation
• Jyoti Nigam, MD

  • Internal Medicine Physician
  • Old Bridge, NJ
  • NPI 1316006315

  Nursing home

  Care Compare affiliation
• Samir G Patel, MD

  • Internal Medicine Physician
  • Spotswood, NJ
  • NPI 1588659296

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1235470022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 53RD ST",
            "address_2": "SUITE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322630",
            "telephone_number": "718-567-0400"
        },
        {
            "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 & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-567-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448450990",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer Hill Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sterling Surgicare, Inc.
• Steve Khalil
• Zabrina Lynn Stokes, LCSW
• Stress Care of Central Jersey, PC
• Billie-Jo Stuto, MSW, LCSW, LCADC
• Summer Hill Nursing Home
• Albert B. Sun, M.D.
• Ravi Surasani
• SW Infusion LLC (Southwood Infusion Center)
• Aldonia Swamy, MD

• Skilled Nursing Facility in Old Bridge, NJ
• Providers in Old Bridge, 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 Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.