New England Deaconess Association

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1297 Issued in MA

Legal business name

NEW ENGLAND DEACONESS ASSOCIATION

Doing business as

Rockridge@Laurel Park

Practice address

25 Coles Meadow Road
Northampton, MA 01060-3191

Phone

(978) 369-5151

Fax

(978) 371-1755

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Zoltowski

Title

Executive Director/Vise President O

Phone

(978) 369-5151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rockridge@Laurel Park Doing business as

Tax ID family

New England Deaconess Association3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• New England Deaconess Association

  • Physical Disabilities Residential Treatment Facility
  • Concord, MA
  • NPI 1316483910
  NPD tax ID
• New England Deaconess Association

  dba Rivercrest LTCF

  • Skilled Nursing Facility
  • Concord, MA
  • NPI 1528055019
  NPD tax ID

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508959024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 DEACONESS ROAD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424113",
            "telephone_number": "978-369-5151",
            "fax_number": "978-371-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLES MEADOW ROAD",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603191",
            "telephone_number": "978-369-5151",
            "fax_number": "978-371-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND DEACONESS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZOLTOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/VISE PRESIDENT O",
        "authorized_official_telephone_number": "978-369-5151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MA",
            "license": "1297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5501253",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockridge@Laurel Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Marie Nery, MACOM, MA, MLITT, BA
• Lydia Kann Nettler, LICSW
• Markus Neugebauer
• Neuropsychological Evaluations of Northampton
• Courtney Neustadt
• New England Medical Supply, LLC (Hometown Medical Supply)
• New England Medical Supply, LLC (Hometown Medical Supply)
• New England Orthopedic Surgeons
• New England Virtual Therapy LLC
• New Patterns, LLC

• Nursing Facility/Intermediate Care Facility in Northampton, MA
• Providers in Northampton, MA by specialty
• Nursing Facility/Intermediate Care Facility in Massachusetts

• 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.