Active NPI
Hartwyck at Oaktree, Inc.
- Skilled Nursing Facility
- Edison, NJ
National Provider Identifier
1306987722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 061205
- Legal business name
- HARTWYCK AT OAKTREE, INC.
- Doing business as
- JFK HARTWYCK AT EDISON ESTATES
- Practice address
- 10 Brunswick Ave
Edison, NJ 08817-2507 - Phone
- (732) 985-1500
- NPI assigned
- Feb 9, 2007
- 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. Thomas Lankey
- Title
- Senior Vice President Long Term Car
- Phone
- (732) 321-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 061205 | NJ | Primary |
Addresses
Primary practice location
10 Brunswick Ave
Edison, NJ 08817-2507
Mailing address
98 James St
Fourth Floor
Edison, NJ 08820-3902
Phone (732) 321-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4484801 | Medicaid | NJ | |
| 12200 | Medicaid | NJ |
Other names 1
- JFK HARTWYCK AT EDISON ESTATES
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
98 James St
Fl Fourth
Edison, NJ 08820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187136000000",
"number": "1306987722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 JAMES ST",
"address_2": "FOURTH FLOOR",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203902",
"telephone_number": "732-321-7000",
"fax_number": "732-321-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BRUNSWICK AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172507",
"telephone_number": "732-985-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTWYCK AT OAKTREE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2007-08-15",
"status": "A",
"authorized_official_last_name": "LANKEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT LONG TERM CAR",
"authorized_official_telephone_number": "732-321-7000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "061205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4484801",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JFK HARTWYCK AT EDISON ESTATES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.