Paragon Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARAGON SENIOR LIVING, LLC

Practice address

427 U.S. Highway Route 46
Hackettstown, NJ 07840

Phone

(908) 979-8080

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Dioguardi

Title

Cfo/Coo

Phone

(516) 496-1505

Specialties & licenses 1

Addresses

Other names 1

• Bentley Senior Living at Paragon Village Doing business as

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1417353376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 U.S. HIGHWAY ROUTE 46",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-979-8080",
            "fax_number": "908-498-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 U.S. HIGHWAY ROUTE 46",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-979-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "DIOGUARDI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "516-496-1505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bentley Senior Living at Paragon Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aderemi Folashade Owoeye
• Devansh Govind Pandey, DO
• Panther Healthcare Clinic Inc
• Panther Healthcare Enterprises Inc
• Paragon Quality, LLC
• Paragon Village, LLC.
• Dhwani Parikh, M.D.
• Jin-Sir Park, D.D.S
• Adwait Babulal Patel
• Charmi Y Patel

• Assisted Living Facility in Hackettstown, NJ
• Providers in Hackettstown, 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 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.