Active NPI
Vineland Operations, LLC
- Skilled Nursing Facility
- Vineland, NJ
National Provider Identifier
1366484792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060607
- Legal business name
- VINELAND OPERATIONS, LLC
- Practice address
- 1640 S Lincoln Ave
Vineland, NJ 08361-6610 - Phone
- (856) 692-8080
- Fax
- (856) 692-0448
- NPI assigned
- Jun 11, 2006
- 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. Sam Stern
- Title
- Comptroller
- Phone
- (718) 567-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060607 | NJ | Primary |
Addresses
Primary practice location
1640 S Lincoln Ave
Vineland, NJ 08361-6610
Mailing address
170 53Rd St
3Rd Floor
Brooklyn, NY 11232-4319
Phone (718) 567-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4473809 | Medicaid | NJ |
Other names 1
- LINCOLN SPECIALTY CARE CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366484792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 53RD ST",
"address_2": "3RD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112324319",
"telephone_number": "718-567-0400",
"fax_number": "718-567-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 S LINCOLN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083616610",
"telephone_number": "856-692-8080",
"fax_number": "856-692-0448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINELAND OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "COMPTROLLER",
"authorized_official_telephone_number": "718-567-0400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4473809",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LINCOLN SPECIALTY CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vineland, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.