SHP V Middletown LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHP V MIDDLETOWN LLC

Practice address

1800 State Route 35
Middletown, NJ 07748-6400

Phone

(732) 571-4814

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Robeson

Title

Authorized Designee

Phone

(973) 734-1345

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Arbor Terrace Middletown Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1497225940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GIRALDA FARMS",
            "address_2": "C/ O PGIM REAL ESTATE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "07940",
            "telephone_number": "973-734-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 STATE ROUTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077486400",
            "telephone_number": "732-571-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHP V MIDDLETOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "ROBESON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "AUTHORIZED DESIGNEE",
        "authorized_official_telephone_number": "973-734-1345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING RESIDENCE",
            "identifier": "13A303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Terrace Middletown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nisha Shah, OT
• Mehek Shaikh, MD
• Erin Shaw
• Mikaylie Rose Shaw
• Jacob Shin, M.D.
• Faizan Nasir Siddiqui, PA-C
• Alec Joseph Signorile
• Jerry Allen Silberman, D.P.M.
• Paul W Silverman, DC
• Jarod Sinahon, DPT

• Assisted Living Facility in Middletown, NJ
• Providers in Middletown, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.