Organization Active NPI

Stevens Ave Healthcare Center LLC

Doing business as Newport Nursing and Rehab Center

  • Skilled Nursing Facility
  • Jersey City, NJ
National Provider Identifier
1437191707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060909 Issued in NJ
Legal business name
STEVENS AVE HEALTHCARE CENTER LLC
Doing business as
Newport Nursing and Rehab Center
Practice address
198 Stevens Ave
Jersey City, NJ 07305-2111
Phone
(201) 451-9000
Fax
(201) 451-0609
NPI assigned
Jun 12, 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. Sam Stern
Title
Comptroller
Phone
(718) 567-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060909 NJ Primary

Addresses

Primary practice location

198 Stevens Ave
Jersey City, NJ 07305-2111

Mailing address

170 53Rd St
3Rd Floor
Brooklyn, NY 11232-4319
Phone (718) 567-0400

Other identifiers 1

IdentifierTypeStateIssuer
4479602MedicaidNJ

Other names 1

  • NEWPORT NURSING AND REHAB CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437191707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 53RD ST",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112324319",
            "telephone_number": "718-567-0400",
            "fax_number": "718-567-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 STEVENS AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052111",
            "telephone_number": "201-451-9000",
            "fax_number": "201-451-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS AVE HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "718-567-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4479602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWPORT NURSING AND REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.