Organization Active NPI

CPL Oak Ridge LLC

  • Skilled Nursing Facility
  • Wayne, NJ
National Provider Identifier
1497736136
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061625 Issued in NJ
Legal business name
CPL OAK RIDGE LLC
Practice address
261 Terhune Drive
Wayne, NJ 07470-7105
Phone
(973) 835-3871
Fax
(973) 835-4518
NPI assigned
Nov 9, 2005
Organization subpart
Yes
Parent organization
NEW JERSEY SUBACUTE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Ms. Carole M Scillia
Title
LLC Manager
Phone
(203) 608-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061625 NJ Primary

Addresses

Primary practice location

261 Terhune Drive
Wayne, NJ 07470-7105

Mailing address

538 Preston Avenue
Suite 270
Meriden, CT 06450-4851
Phone (203) 608-6100

Other identifiers 1

IdentifierTypeStateIssuer
4496400MedicaidNJ

Other names 1

  • Oak Ridge Rehabilitation & Nursing Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1497736136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 PRESTON AVENUE",
            "address_2": "SUITE 270",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504851",
            "telephone_number": "203-608-6100",
            "fax_number": "203-639-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 TERHUNE DRIVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707105",
            "telephone_number": "973-835-3871",
            "fax_number": "973-835-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPL OAK RIDGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW JERSEY SUBACUTE LLC",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "SCILLIA",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "203-608-6100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4496400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Ridge Rehabilitation & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.