Juniper Village at Chatham, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

60A006 Issued in NJ

Legal business name

JUNIPER VILLAGE AT CHATHAM, LLC

Practice address

500 Southern Blvd
Chatham, NJ 07928-1407

Phone

(973) 966-5483

Fax

(973) 966-0119

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Linda C. Donato

Title

Secretary

Phone

(973) 945-3526

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Juniper Village at Chatham Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1376661256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SOUTHERN BLVD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281407",
            "telephone_number": "973-966-5483",
            "fax_number": "973-966-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTHERN BLVD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281407",
            "telephone_number": "973-966-5483",
            "fax_number": "973-966-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER VILLAGE AT CHATHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "973-945-3526"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "60A006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004235",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Village at Chatham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Jarman
• John F. Elwell DMD PA
• John N. Franzese, MD, PC
• Terri A. Jones, MA, CCC-SLP
• Amanda Rae Joshi, LCSW
• Elyssa L Kahn, PH.D.
• Cheryl Kaulback, PT
• Amy Lynn Kearns, REGISTERED DIETITIAN
• Julia Keegan
• Margot I Kerrigan, M.D.

• Assisted Living Facility in Chatham, NJ
• Providers in Chatham, 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 Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.