Organization Active NPI

Rainbow of New Jersey, Inc.

  • Skilled Nursing Facility
  • Pittsgrove, NJ
National Provider Identifier
1457333494
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061704 Issued in NJ
Legal business name
RAINBOW OF NEW JERSEY, INC.
Practice address
849 Big Oak Rd
Pittsgrove, NJ 08318-4054
Phone
(856) 451-5000
Fax
(856) 455-7371
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Ms. Cheryl Burke
Title
Business Office Manager
Phone
(856) 451-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061704 NJ Primary

Addresses

Primary practice location

849 Big Oak Rd
Pittsgrove, NJ 08318-4054

Mailing address

849 Big Oak Rd
Pittsgrove, NJ 08318-4054
Phone (856) 451-5000

Other identifiers 2

IdentifierTypeStateIssuer
4498305MedicaidNJ
315014OtherNJBLUE CROSS

Other names 1

  • Rainbow Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1457333494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 BIG OAK RD",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083184054",
            "telephone_number": "856-451-5000",
            "fax_number": "856-455-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 BIG OAK RD",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083184054",
            "telephone_number": "856-451-5000",
            "fax_number": "856-455-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "856-451-5000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4498305",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "315014",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsgrove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.