NPIMap

Organization Active NPI

Clara Maass Medical Center

Doing business as Clara Maass Continuing Care Center at West Hudson

  • Skilled Nursing Facility
  • Kearny, NJ
National Provider Identifier
1477675338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10909 Issued in NJ
Legal business name
CLARA MAASS MEDICAL CENTER
Doing business as
Clara Maass Continuing Care Center at West Hudson
Practice address
206 Bergen Ave
Kearny, NJ 07032-3324
Phone
(973) 450-2908
Fax
(973) 844-4705
NPI assigned
Apr 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dave Sweeney
Title
Manager
Phone
(908) 851-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10909 NJ Primary

Addresses

Primary practice location

206 Bergen Ave
Kearny, NJ 07032-3324

Mailing address

206 Bergen Ave
Kearny, NJ 07032-3324
Phone (973) 450-2908

Other identifiers 1

IdentifierTypeStateIssuer
000654OtherNJHORIZON SUB-ACUTE CONTRCT

Other names 1

  • Clara Maass Continuing Care Center at West Hudson Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jayalaksh Ganapathy MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477675338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BERGEN AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323324",
            "telephone_number": "973-450-2908",
            "fax_number": "973-844-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BERGEN AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323324",
            "telephone_number": "973-450-2908",
            "fax_number": "973-844-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA MAASS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-851-8355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "10909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON SUB-ACUTE CONTRCT",
            "identifier": "000654",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clara Maass Continuing Care Center at West Hudson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.