Active NPI
Roseen Realty Corp
Doing business as Arnold Walter Nursing Home
- Skilled Nursing Facility
- Hazlet, NJ
National Provider Identifier
1245244177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 061301
- Legal business name
- ROSEEN REALTY CORP
- Doing business as
- Arnold Walter Nursing Home
- Practice address
- 622 South Laurel Ave
Hazlet, NJ 07730-2681 - Phone
- (732) 787-6300
- Fax
- (732) 787-3036
- NPI assigned
- Jul 28, 2006
- 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
- Mr. Benzion Schachter, LNHA
- Title
- Administrator
- Phone
- (732) 787-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 061301 | NJ | Primary |
Addresses
Primary practice location
622 South Laurel Ave
Hazlet, NJ 07730-2681
Mailing address
622 South Laurel Ave
Hazlet, NJ 07730-2681
Phone (732) 787-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13640 | Medicaid | NJ |
Other names 1
- Arnold Walter Nursing Home
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0937547 | Arnold Walter Nursing Home | Certificate of waiver | Dec 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245244177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 SOUTH LAUREL AVE",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077302681",
"telephone_number": "732-787-6300",
"fax_number": "732-787-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 SOUTH LAUREL AVE",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077302681",
"telephone_number": "732-787-6300",
"fax_number": "732-787-3036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEEN REALTY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHACHTER",
"authorized_official_first_name": "BENZION",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "732-787-6300",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "061301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13640",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arnold Walter Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hazlet, 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.
- 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.