Organization Active NPI

Neptune Gardens Nursing and Rehab LLC

  • Skilled Nursing Facility
  • Neptune, NJ
National Provider Identifier
1447628177
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061304 Issued in NJ
Legal business name
NEPTUNE GARDENS NURSING AND REHAB LLC
Practice address
101 Walnut St
Neptune, NJ 07753-4301
Phone
(732) 774-3550
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Mr. David Gamzeh
Title
Member
Phone
(732) 774-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061304 NJ Primary

Addresses

Primary practice location

101 Walnut St
Neptune, NJ 07753-4301

Mailing address

101 Walnut St
Neptune, NJ 07753-4301
Phone (732) 774-3550

Other identifiers 1

IdentifierTypeStateIssuer
061304OtherNJLICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1447628177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WALNUT ST",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534301",
            "telephone_number": "732-774-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WALNUT ST",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534301",
            "telephone_number": "732-774-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPTUNE GARDENS NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "GAMZEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-774-3550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "061304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.