Sunrise Third (Pool IV), LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

80A008 Issued in NJ

Legal business name

SUNRISE THIRD (POOL IV), LLC

Doing business as

Sunrise of Basking Ridge

Practice address

404 King George Rd
Basking Ridge, NJ 07920-2808

Phone

(908) 542-9000

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Gedbaw

Title

Executive Director

Phone

(908) 542-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise of Basking Ridge Doing business as

Tax ID family

Sunrise Assisted Living of Marlboro2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sunrise Third (Pool IV), LLC

  dba Sunrise Assisted Living Of Marlboro

  • Assisted Living Facility
  • Marlboro, NJ
  • NPI 1982750998
  NPD tax ID

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447304746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 KING GEORGE RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202808",
            "telephone_number": "908-542-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 KING GEORGE RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202808",
            "telephone_number": "908-542-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE THIRD (POOL IV), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEDBAW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-542-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "80A008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Basking Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynne Stull, LCSW
• Stacey Suggs, OTR/L
• Joseph Chang Suh, PHARM D
• Katherine Kelly Sullivan
• Clare Chui Ling Sun, MD
• Angela Suvarna, R.N., APN, FNP-C
• Marjorie E Tapia, MS, RN, GNP-BC
• Saeeda S Tayyab, RD
• Roxinne Templonuevo, PHARMD
• Carly Tepfenhardt, PA-C

• Assisted Living Facility in Basking Ridge, NJ
• Providers in Basking Ridge, 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 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.