Matawan Alf Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MATAWAN ALF OPERATIONS LLC

Practice address

40 Freneau Ave
Matawan, NJ 07747-4500

Phone

(732) 566-0800

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Pinchos Bak

Title

President

Phone

(908) 783-3110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1346007689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FRENEAU AVE",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077474500",
            "telephone_number": "732-566-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FRENEAU AVE",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077474500",
            "telephone_number": "732-566-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAWAN ALF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "PINCHOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-783-3110"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Matawan, NJ
• Providers in Matawan, 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 Mar 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.