Organization Active NPI

Chelsea at East Brunswick

  • Assisted Living Facility
  • East Brunswick, NJ
National Provider Identifier
1497896526
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
50A000 Issued in NJ
Legal business name
CHELSEA AT EAST BRUNSWICK
Practice address
606 Cranbury Rd
East Brunswick, NJ 08816-5422
Phone
(732) 651-6100
Fax
(732) 651-6446
NPI assigned
Feb 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gloria Ann Petro, CALA
Title
Executive Director
Phone
(732) 651-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 50A000 NJ Primary

Addresses

Primary practice location

606 Cranbury Rd
East Brunswick, NJ 08816-5422

Mailing address

606 Cranbury Rd
East Brunswick, NJ 08816-5422
Phone (732) 651-6100

Other identifiers 1

IdentifierTypeStateIssuer
7657901MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497896526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165422",
            "telephone_number": "732-651-6100",
            "fax_number": "732-651-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165422",
            "telephone_number": "732-651-6100",
            "fax_number": "732-651-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA AT EAST BRUNSWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-651-6100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "50A000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7657901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • 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.