Phylco, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PHYLCO, LTD

Practice address

59 Birch St
Paterson, NJ 07522-1403

Phone

(973) 942-8899

Fax

(973) 942-1229

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn Solan

Title

Cfo

Phone

(973) 942-8899

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• White Birch Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1467515411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BIRCH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221403",
            "telephone_number": "973-942-8899",
            "fax_number": "973-942-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BIRCH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221403",
            "telephone_number": "973-942-8899",
            "fax_number": "973-942-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLCO, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "SOLAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-942-8899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061620",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BLUE NUMBER",
            "identifier": "001263",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4496701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Birch Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Birch Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Philips Academy Charter School of Paterson
• Phoenix Physicians LLC
• Physical Medicine of New Jersey
• Physical Medicine of New Jersey LLC
• Physical Therapy Home Services LLC
• Physical Therapy Institute of Paterson
• Chrismaily Sheribel Pichardo

• Skilled Nursing Facility in Paterson, NJ
• Providers in Paterson, 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 Feb 14, 2019; 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.