Organization Active NPI

R & D Health Management, Inc

  • Skilled Nursing Facility
  • Haskell, NJ
National Provider Identifier
1417016189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061621 Issued in NJ
Legal business name
R & D HEALTH MANAGEMENT, INC
Practice address
25 Fifth Avenue
Haskell, NJ 07420-1075
Phone
(973) 839-6000
Fax
(973) 839-7145
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David E Ruck
Title
Exec VP
Phone
(973) 839-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061621 NJ Primary

Addresses

Primary practice location

25 Fifth Avenue
Haskell, NJ 07420-1075

Mailing address

25 Fifth Avenue
Haskell, NJ 07420-1075
Phone (973) 839-6000

Other identifiers 2

IdentifierTypeStateIssuer
4497007MedicaidNJ
0559180001OtherNJNSC NUMBER

Other names 1

  • Lakeland Health Care Center Other name

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
31D2253099Lakeland Health Care Center25 Fifth Avenue, Haskell, NJ 07420Certificate of waiverFeb 16, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417016189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FIFTH AVENUE",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201075",
            "telephone_number": "973-839-6000",
            "fax_number": "973-839-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FIFTH AVENUE",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201075",
            "telephone_number": "973-839-6000",
            "fax_number": "973-839-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & D HEALTH MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXEC VP",
        "authorized_official_telephone_number": "973-839-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4497007",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC NUMBER",
            "identifier": "0559180001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Health Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Haskell, 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.
  • 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.