Organization Active NPI

Medford Convalescent & Nursing Center

Doing business as Medford Care Center

  • Skilled Nursing Facility
  • Medford, NJ
National Provider Identifier
1467459008
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060313 Issued in NJ
Legal business name
MEDFORD CONVALESCENT & NURSING CENTER
Doing business as
Medford Care Center
Practice address
185 Tuckerton Rd
Medford, NJ 08055-8803
Phone
(856) 983-8500
Fax
(856) 983-8965
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Richard Pineles
Title
President
Phone
(201) 489-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060313 NJ Primary

Addresses

Primary practice location

185 Tuckerton Rd
Medford, NJ 08055-8803

Mailing address

185 Tuckerton Rd
Medford, NJ 08055-8803
Phone (856) 983-8500

Other identifiers 2

IdentifierTypeStateIssuer
03140OtherNJNJ
4466209MedicaidNJ

Other names 1

  • Medford Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000501 NJ Part A Provider - Skilled Nursing Facility 0042380602 Practice locations: Medford, NJ

Skilled nursing facility certification: CCN 315176

Legal name
MEDFORD CONVALESCENT & NURSING CENTER
Doing business as
MEDFORD CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 21, 1980
Last certification
Dec 5, 2024
Beds
180
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 3, 1976 in NJ
Enrollment address
185 Tuckerton Rd
Medford Care Center
Medford, NJ 08055-8803

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Pines at MedfordCCN 315176 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 21, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180102.9 residents per day on average
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $215,633

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0118778Medford Convalescent & Nursing185 Tuckerton Rd, Medford, NJ 08055Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard I Pineles Individual 5% Or Greater Direct Ownership Interest Jan 1, 2008
Corporate Director Jan 1, 2008
Barbara Levine Individual 5% Or Greater Direct Ownership Interest Jan 1, 2008
Corporate Director Jan 1, 2008
Karen Mendelsohn Individual 5% Or Greater Direct Ownership Interest Jan 1, 2008
Corporate Director Jan 1, 2008
Karen T Jaskot Individual Corporate Director Jan 1, 2008
Sandra Lowden Individual W-2 Managing EmployeeAdministrator Nov 29, 2018 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1467459008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 TUCKERTON RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558803",
            "telephone_number": "856-983-8500",
            "fax_number": "856-983-8965"
        },
        {
            "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",
            "fax_number": "856-983-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD CONVALESCENT & NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "PINELES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-489-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ",
            "identifier": "03140",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4466209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medford Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.