Chestnut Hill Residence

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HOT9MH Issued in NJ

Legal business name

CHESTNUT HILL RESIDENCE

Practice address

338 Chestnut St
Passaic, NJ 07055-3158

Phone

(973) 777-7800

Fax

(973) 249-0623

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George Peck, Jr., M.D.

Title

Owner

Phone

(973) 777-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Chestnut Hill Residence3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chestnut Hill Convalescent Center

  • Skilled Nursing Facility
  • Passaic, NJ
  • NPI 1609860287
  NPD tax ID
• Chestnut Hill Residence

  • Assisted Living Facility
  • Passaic, NJ
  • NPI 1184889818
  NPD tax ID

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275674970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 CHESTNUT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553158",
            "telephone_number": "973-777-7800",
            "fax_number": "973-249-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 CHESTNUT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553158",
            "telephone_number": "973-777-7800",
            "fax_number": "973-249-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PECK, JR.",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-777-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "HOT9MH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8659907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaya Sorscher Ms CCC-SLP/a
• Tin M Chen, P.A.
• Chestnut Hill Convalescent & Rehabilitation Center
• Chestnut Hill Convalescent Center
• Chestnut Hill Residence
• Chestnut Hill Residences by Complete Care
• Chestnut Plaza Dental Center PA
• Chestnuthill Physicians Group
• Gurmeet Chhabra, M.D.
• Peter Chiacchiaro, LCSW

• Assisted Living Facility in Passaic, NJ
• Providers in Passaic, 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 Aug 22, 2020; 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.