Tuckerton Operating, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TUCKERTON OPERATING, LLC

Doing business as

The Pines at Medford

Practice address

185 Tuckerton Rd
Medford, NJ 08055-8803

Phone

(856) 983-8500

NPI assigned

Jun 10, 2025

Organization subpart

No

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

Authorized official

Name

Charles-Edouard Gros

Title

Member

Phone

(718) 360-8083

Specialties & licenses 1

Addresses

Other names 1

• The Pines at Medford Doing business as

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1457246555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BAYVIEW AVE",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110961702",
            "telephone_number": "718-360-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TUCKERTON RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558803",
            "telephone_number": "856-983-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKERTON OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "GROS",
        "authorized_official_first_name": "CHARLES-EDOUARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-360-8083"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pines at Medford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Tischner, DO
• Joseph A Toia, DMD
• Township of Medford
• Jodi Trees, RN, APN-C
• Trinity Advanced Healthcare Services
• Harry E Turse, MD
• Florence D Tursi, D.P.M.
• Jeffrey Uhl, PSYD
• Cassandra Ullrich
• Shannon Marie Urban, PT, DPT

• Skilled Nursing Facility in Medford, NJ
• Providers in Medford, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.