NPIMap

Organization Active NPI

Visiting Nurse Association of Englewood, Inc.

  • Home Health Agency
  • Englewood, NJ
National Provider Identifier
1376528224
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
22250 Issued in NJ
Legal business name
VISITING NURSE ASSOCIATION OF ENGLEWOOD, INC.
Practice address
155 N Dean St Ste 2C
Englewood, NJ 07631-2524
Phone
(201) 894-3333
Fax
(201) 894-1710
NPI assigned
Dec 14, 2005
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Peter Gaylord
Title
Chief Financial Officer
Phone
(800) 862-3330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 22250 NJ Primary
Community Based Hospice Care Agency 251G00000X 22745 NJ

Addresses

Primary practice location

155 N Dean St Ste 2C
Englewood, NJ 07631-2524

Mailing address

23 Main St Ste D1
Holmdel, NJ 07733-2136
Phone (732) 224-6914

Other identifiers 5

IdentifierTypeStateIssuer
361364MedicaidNJ
372943MedicaidNJ
4145208MedicaidNJ
4145216MedicaidNJ
4545206MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120312000773 NJ Part A Provider - Hospice 3971762816 Practice locations: Englewood, NJ
O20120313000057 NJ Part A Provider - Home Health Agency 3971762816 Practice locations: Englewood, NJ

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1376528224. Details of each certification follow.

Hospice certification: CCN 311526

Legal name
VISITING NURSE ASSOCIATION OF ENGLEWOOD, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 1, 1989
Last certification
Sep 25, 2013
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Jul 19, 2011 in NJ
Enrollment address
15 Engle St
Englewood, NJ 07631

Home health agency certification: CCN 317022

Legal name
VISITING NURSE ASSOCIATION OF ENGLEWOOD, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Aug 23, 2013
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jul 19, 2011 in NJ
Enrollment address
155 N Dean St
Ste 2C
Englewood, NJ 07631-2524
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Visiting Nurse Association of Englewood, IncCCN 317022 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Visiting Nurse Association of Englewood, IncCCN 311526 · All quality measures
Ownership
Other
Certified
Jun 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0897956Visiting Nurse Association of Englewood, Inc155 N Dean St, Englewood, NJ 07631Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

15 Engle St
Englewood, NJ 07631
Phone (201) 871-8900

155 N Dean St
Ste 2C
Englewood, NJ 07631
Phone (201) 894-3333

75 W Demarest Ave
#100
Englewood, NJ 07631
Phone (201) 894-3333

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Chiappinelli Individual W-2 Managing EmployeeChief of Legal Affairs and Co Feb 5, 2014
W-2 Managing EmployeeChief of Legal Affairs and Compl Jan 31, 2014
Anthony Orlando Individual Corporate OfficerAssistant Treasurer Nov 21, 2011
Corporate Director Nov 21, 2011
Corporate OfficerAsst Treasurer Nov 22, 2011
Corporate Director Nov 22, 2011
Michael Pietrowicz Individual Corporate OfficerChairman Jan 1, 2024
Corporate Director Nov 21, 2011
Corporate OfficerSecretary Nov 22, 2011
Corporate Director Nov 22, 2011
Peter Gaylord Individual Corporate OfficerTreasurer Jun 12, 2013
Corporate DirectorBoard Member Jun 12, 2013
Visiting Nurse Association Health Group Inc Organization, Neptune, NJ Non-profit 5% Or Greater Direct Ownership Interest Nov 22, 2011 50%
Operational/Managerial Control Nov 22, 2011 50%
Operational/Managerial Control Nov 22, 2011
Englewood Hospital and Medical Center Organization, Englewood, NJ Non-profit 5% Or Greater Direct Ownership Interest Nov 22, 2011 50%
Operational/Managerial Control Nov 22, 2011 50%
Operational/Managerial Control Nov 22, 2011
Kevin Gerard Rogers Individual Corporate OfficerTreasurer, Cfo Nov 22, 2011
Corporate Director Nov 22, 2011
Kathleen Kaminsky Individual Corporate Director Jul 9, 2015
Madelyn Pearson Individual Corporate OfficerVice Chairperson Nov 22, 2011
Corporate Director Nov 22, 2011
Linda Anne Savino Individual Corporate Director May 26, 2016
Mary B Wachter Individual Corporate OfficerAsst Sec Nov 22, 2011
Corporate Director Nov 22, 2011
Steven Howard Landers Individual Corporate Officer Jul 1, 2011
John a Harz Individual Corporate Director Jan 1, 2012

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 81

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1376528224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN ST STE D1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332136",
            "telephone_number": "732-224-6914",
            "fax_number": "732-784-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N DEAN ST STE 2C",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312524",
            "telephone_number": "201-894-3333",
            "fax_number": "201-894-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF ENGLEWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "GAYLORD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "800-862-3330"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "22250",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22745",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361364",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372943",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4145208",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4145216",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4545206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.