Organization Active NPI

Pilgram River LLC

  • Assisted Living Facility
  • Hillsborough, NJ
National Provider Identifier
1487794236
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PILGRAM RIVER LLC
Practice address
393 Amwell Rd
Hillsborough, NJ 08844-1204
Phone
(908) 874-7200
Fax
(908) 874-7283
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Mr. Donald J Pelligrino
Title
Ceo/Owner
Phone
(908) 722-7022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NJ Primary

Addresses

Primary practice location

393 Amwell Rd
Hillsborough, NJ 08844-1204

Mailing address

393 Amwell Rd
Hillsborough, NJ 08844-1204
Phone (908) 874-7200

Other identifiers 1

IdentifierTypeStateIssuer
0115843MedicaidNJ

Other names 1

  • The Avalon at Hillsborough Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2193629Avalon at Hillsborough393 Amwell Road, Hillsborough, NJ 08844Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1487794236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 AMWELL RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441204",
            "telephone_number": "908-874-7200",
            "fax_number": "908-874-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 AMWELL RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441204",
            "telephone_number": "908-874-7200",
            "fax_number": "908-874-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILGRAM RIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "PELLIGRINO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "908-722-7022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115843",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Avalon at Hillsborough",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.