NPIMap

Organization Active NPI

NJ Golden Home Care Corp

  • Home Health Agency
  • New Brunswick, NJ
National Provider Identifier
1407389828
Registry record updated Apr 4, 2017
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Sep 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0209000 Issued in NJ
Legal business name
NJ GOLDEN HOME CARE CORP
Practice address
60 Sicard St
New Brunswick, NJ 08901-1143
Phone
(201) 918-2866
Fax
(201) 984-0700
NPI assigned
Apr 4, 2017
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Hatem Abdelaziz
Title
Office Manager
Phone
(973) 390-8768

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0209000 NJ Primary
In Home Supportive Care Agency 253Z00000X HP0209000 NJ

Addresses

Primary practice location

60 Sicard St
New Brunswick, NJ 08901-1143

Mailing address

60 Sicard St
New Brunswick, NJ 08901-1143
Phone (201) 918-2866

Other identifiers 1

IdentifierTypeStateIssuer
0547166MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
NJ Golden Home Care7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

60 Sicard St
New Brunswick, NJ 08901
Phone (201) 918-2866

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1407389828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SICARD ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011143",
            "telephone_number": "201-918-2866",
            "fax_number": "201-984-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SICARD ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011143",
            "telephone_number": "201-918-2866",
            "fax_number": "201-984-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ GOLDEN HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "ABDELAZIZ",
        "authorized_official_first_name": "HATEM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-390-8768"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0209000",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "HP0209000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0547166",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.