Active NPI
R & D Health Management, Inc
- Skilled Nursing Facility
- Haskell, NJ
National Provider Identifier
1417016189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 061621
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4497007 | Medicaid | NJ | |
| 0559180001 | Other | NJ | NSC NUMBER |
Other names 1
- Lakeland Health Care Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2253099 | Lakeland Health Care Center | Certificate of waiver | Feb 16, 2028 |
National Provider Directory
National Provider DirectoryNPI 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"
}
]
}
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- Premier Counseling Care
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- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
- Jennifer Leigh Rana, OTR/L
- Derk Miles Replogle, LCADC
- Stephanie Ricciardi, AGNP-C
- Karl E Rufo, MSN, APN, PMHNP-C
- Brielle Runfeldt
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.