Princeton Healthcare SNF, LLC

Key facts

NPI

1376539742

Entity type

Organization (NPI type 2)

Primary specialty

Skilled Nursing Facility 314000000X

License

62202 (NJ)

Legal business name

PRINCETON HEALTHCARE SNF, LLC

Practice address

5000 Windrow Dr
Princeton, NJ 08540-5003

Phone

(609) 987-1221

NPI assigned

Sep 21, 2005

Organization subpart

No

Authorized official

Name

John Pilek

Title

Lnha

Phone

(609) 987-1221

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• The Pavilions at Forrestal Health and Rehab Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376539742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WINDROW DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405003",
            "telephone_number": "609-987-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WINDROW DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405003",
            "telephone_number": "609-987-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HEALTHCARE SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PILEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LNHA",
        "authorized_official_telephone_number": "609-987-1221"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "62202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "108324",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5597641",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7382707",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS",
            "identifier": "315370",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCHOICE OF NJ",
            "identifier": "17620",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1157185",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A1265483",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pavilions at Forrestal Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Princeton Health System, Inc.
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• Princeton Healthcare Affiliated Physicians PC
• Princeton Healthcare Affiliated Physicians PC
• Princeton Healthcare System
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

All providers in Princeton, NJ · Skilled Nursing Facility in New Jersey