Active NPI
Medford Convalescent & Nursing Center
Doing business as Medford Care Center
- Skilled Nursing Facility
- Medford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060313
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03140 | Other | NJ | NJ |
| 4466209 | Medicaid | NJ |
Other names 1
- Medford Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Medford
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 21, 1980
- Medicare certification status
- Active
- Certified beds
- 180
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0118778 | Medford Convalescent & Nursing | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Richard I Pineles | 5% Or Greater Direct Ownership Interest | Jan 1, 2008 | |
| Corporate Director | Jan 1, 2008 | ||
| Barbara Levine | 5% Or Greater Direct Ownership Interest | Jan 1, 2008 | |
| Corporate Director | Jan 1, 2008 | ||
| Karen Mendelsohn | 5% Or Greater Direct Ownership Interest | Jan 1, 2008 | |
| Corporate Director | Jan 1, 2008 | ||
| Karen T Jaskot | Corporate Director | Jan 1, 2008 | |
| Sandra Lowden | W-2 Managing Employee | 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.
-
- Internal Medicine Physician
- Sicklerville, NJ
- NPI 1639116569
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
- Sandi Blood McKay, NP
- Maura Elizabeth McKeon
- Valerie McKinnon
- David McNamera
- Medford Children's Dental Center, PC (A-OK Children's Dentistry, PC)
- Medford Endodontics
- Medford Eyewear Center, Inc.
- Medford Family and Cosmetic Dentistry
- Medford Family Dental Care PA
- Medford Family Pharmacy LLC (Medford Family Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.