Organization Active NPI

The Lakewood of Voorhees Operator

  • Skilled Nursing Facility
  • Voorhees, NJ
National Provider Identifier
1467740902
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060408 Issued in NJ
Legal business name
THE LAKEWOOD OF VOORHEES OPERATOR
Practice address
1302 Laurel Oak Rd
Voorhees, NJ 08043-4310
Phone
(856) 346-1200
Fax
(856) 346-0382
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Rich Molfetta
Title
Coo
Phone
(201) 635-1195

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X
Skilled Nursing Facility 314000000X 060408 NJ Primary

Addresses

Primary practice location

1302 Laurel Oak Rd
Voorhees, NJ 08043-4310

Mailing address

1302 Laurel Oak Rd
Voorhees, NJ 08043-4310
Phone (856) 346-1200

Other identifiers 1

IdentifierTypeStateIssuer
4469607MedicaidNJ

Other names 1

  • The Voorhees Care & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1467740902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434310",
            "telephone_number": "856-346-1200",
            "fax_number": "856-346-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434310",
            "telephone_number": "856-346-1200",
            "fax_number": "856-346-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAKEWOOD OF VOORHEES OPERATOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "MOLFETTA",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4469607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Voorhees Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.