Organization Active NPI

St Cloud Rochelle Park LLC

  • Skilled Nursing Facility
  • Rochelle Park, NJ
National Provider Identifier
1487811014
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST CLOUD ROCHELLE PARK LLC
Practice address
96 Parkway
Rochelle Park, NJ 07662-4200
Phone
(718) 567-0400
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Chavie Katz
Title
Billing Manager
Phone
(718) 567-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

96 Parkway
Rochelle Park, NJ 07662-4200

Mailing address

170 53Rd St
Brooklyn, NY 11232-4316

National Provider Directory

National Provider Directory
Tax ID family
St Cloud Rochelle Park LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1487811014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112324316"
        },
        {
            "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": "718-567-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLOUD ROCHELLE PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "CHAVIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-567-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.