Organization Active NPI

Roseen Realty Corp

Doing business as Arnold Walter Nursing Home

  • Skilled Nursing Facility
  • Hazlet, NJ
National Provider Identifier
1245244177
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061301 Issued in NJ
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

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
Mr. Benzion Schachter, LNHA
Title
Administrator
Phone
(732) 787-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13640MedicaidNJ

Other names 1

  • Arnold Walter Nursing Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0937547Arnold Walter Nursing Home622 Laurel Avenue, Hazlet, NJ 07730Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.