SNH Teaneck Tenant LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SNH TEANECK TENANT LLC

Doing business as

Five Star Premier Residences of Teaneck

Practice address

655 Pomander Walk
Teaneck, NJ 07666

Phone

(201) 836-3634

Fax

(201) 836-9435

NPI assigned

Jan 21, 2011

Last updated

Oct 4, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SNH TEANECK TENANT LLCAs reported in NPPES

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

Authorized official

Name

Christopher Jason Bilotto

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Five Star Premier Residences of Teaneck Doing business as

Part of

SNH Teaneck Tenant LLC

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1265737316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 300",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581634",
            "telephone_number": "617-796-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 POMANDER WALK",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-836-3634",
            "fax_number": "201-836-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH TEANECK TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH TEANECK TENANT LLC",
        "enumeration_date": "2011-01-21",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "BILOTTO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0327212",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Premier Residences of Teaneck",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Five Star Premier Residences of Teaneck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Small
• Sarah Small, OTR/L
• Daniel H. Smith, M.D.
• Kelsy M Smith
• Tammy Michelle Smith, LCSW
• Aliza Sokel, LCSW
• Solomon Aluko
• Mee So Son, PHARM D.
• Yonatan Sonnenschein
• Erlinda G Soriano, RN

• Assisted Living Facility in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.