Organization Active NPI

LLMD Associates LLC

Doing business as Watersedge Healthcare & Rehabilataion Center

  • Skilled Nursing Facility
  • Trenton, NJ
National Provider Identifier
1487641767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LLMD ASSOCIATES LLC
Doing business as
Watersedge Healthcare & Rehabilataion Center
Practice address
512 Union St
Trenton, NJ 08611-2800
Phone
(609) 393-8622
NPI assigned
Oct 3, 2005
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
Mr. Lizer Jozefovic, LNHA
Title
Administrator
Phone
(609) 393-8622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

512 Union St
Trenton, NJ 08611-2800

Mailing address

512 Union St
Trenton, NJ 08611-2800
Phone (609) 393-8622

Other identifiers 1

IdentifierTypeStateIssuer
5561400MedicaidNJ

Other names 1

  • Watersedge Healthcare & Rehabilataion 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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487641767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 UNION ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086112800",
            "telephone_number": "609-393-8622",
            "fax_number": "609-393-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 UNION ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086112800",
            "telephone_number": "609-393-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLMD ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOZEFOVIC",
        "authorized_official_first_name": "LIZER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-393-8622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5561400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watersedge Healthcare & Rehabilataion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, 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.