Parkway Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060229 Issued in NJ

Legal business name

PARKWAY HEALTHCARE LLC

Practice address

96 Parkway
Rochelle Park, NJ 07662-4200

Phone

(201) 845-0099

Fax

(201) 845-8826

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sam Stern

Title

Comptroller

Phone

(718) 567-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRISTOL MANOR HEALTHCARE Doing business as

Tax ID family

Alaris Health at Rochelle Park - Vent2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Parkway Healthcare, LLC

  • Skilled Nursing Facility
  • Rochelle Park, NJ
  • NPI 1760922439
  NPD tax ID

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487696001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 53RD ST",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112324319",
            "telephone_number": "718-567-0400",
            "fax_number": "718-567-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 PARKWAY",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624200",
            "telephone_number": "201-845-0099",
            "fax_number": "201-845-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "718-567-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4464907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRISTOL MANOR HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Medical Transportation LLC
• Jill Ann Pantaleo, LCSW
• Rebecca Jane Parada, PA-C
• Paramus Dental&Implant Center
• Parkway Healthcare LLC
• Parkway Healthcare, LLC
• Todd David Pascarelli, MD
• Magna Josefina Pastrano Lluberes, M.D.
• Neha Patel, M.D.
• Puja Patel, DO

• Skilled Nursing Facility in Rochelle Park, NJ
• Providers in Rochelle Park, 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 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.