NPIMap

Organization Active NPI

Acutecare Health System, LLC

Doing business as Specialty Hospital at Monmouth

  • Long Term Care Hospital
  • Long Branch, NJ
National Provider Identifier
1528063435
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
23142 Issued in NJ
Legal business name
ACUTECARE HEALTH SYSTEM, LLC
Doing business as
Specialty Hospital at Monmouth
Practice address
300 Second Ave
Greenwall 6
Long Branch, NJ 07740
Phone
(732) 923-5037
Fax
(732) 923-6580
NPI assigned
Jun 16, 2005
Last updated
Oct 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Mr. Daniel Czermak
Title
Ceo
Phone
(732) 364-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 23142 NJ Primary
General Acute Care Hospital 282N00000X 23142 NJ

Addresses

Primary practice location

300 Second Ave
Greenwall 6
Long Branch, NJ 07740

Mailing address

500 River Ave
Ste 150
Lakewood, NJ 08701-4738
Phone (732) 364-0800

Other names 1

  • Specialty Hospital at Monmouth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041108000709 NJ Part B Supplier - Clinic/Group Practice 0840101994 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakewood, NJ
O20091005000167 NJ Part A Provider - Hospital 0840101994 1 other NPI on this enrollment
Practice locations: Lakewood, NJ

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1528063435. Details of each certification follow.

Hospital certification: CCN 312017

Legal name
ACUTECARE HEALTH SYSTEM, LLC
Doing business as
SPECIALTY HOSPITAL OF CENTRAL JERSEY
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Nov 1, 2004
Last certification
Aug 26, 2021
Beds
50
Ownership / control type
Private (not for profit)
Organization structure
LLCProprietary
Incorporated
Oct 27, 2003 in NJ
Enrollment address
600 River Ave
4 West
Lakewood, NJ 87015237
Hospital subgroups
Long-term

Hospital certification: CCN 310122

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SPECIALTY HOSPITAL AT MONMOUTH
Certification status
Terminated Other: provider status change, Nov 1, 2004
Provider type (POS)
Hospital – Short-term
Participating since
Apr 15, 2004
Last certification
Apr 15, 2004
Beds
25
Ownership / control type
Private (for profit)
Facility address
300 Second Avenue
Long Branch, NJ 07740

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Specialty Hospital of Central JerseyCCN 312017 · All quality measures
Ownership
Non-profit
Certified
Nov 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Beds
50

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Leon Goldenberg Individual 5% Or Greater Direct Ownership Interest Nov 1, 2004
General Partnership Interest Nov 1, 2004
Maureen Rogers Individual Corporate DirectorExecutive Director Oct 22, 2020
Chaim Rajchenbach Individual 5% Or Greater Direct Ownership InterestLLC Member Aug 5, 2022 7.75%
Daniel Czermak Individual 5% Or Greater Direct Ownership Interest Nov 1, 2004
General Partnership Interest Nov 1, 2004
Corporate Director Nov 1, 2004
W-2 Managing Employee Nov 1, 2004
Violeta Peters Individual W-2 Managing Employee Apr 15, 2004
Aaron Kotler Individual 5% Or Greater Direct Ownership Interest Nov 1, 2004
General Partnership Interest Nov 1, 2004
Howard Lebowitz Individual 5% Or Greater Direct Ownership Interest Nov 1, 2004
General Partnership Interest Nov 1, 2004
Corporate Director Nov 1, 2004
W-2 Managing Employee Nov 1, 2004

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Howard Harris Lebowitz, M.D.
    • Internal Medicine Physician
    • Lakewood, NJ
    • NPI 1568483451

    5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1528063435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RIVER AVE",
            "address_2": "STE 150",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014738",
            "telephone_number": "732-364-0800",
            "fax_number": "732-264-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SECOND AVE",
            "address_2": "GREENWALL 6",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "07740",
            "telephone_number": "732-923-5037",
            "fax_number": "732-923-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTECARE HEALTH SYSTEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "CZERMAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-364-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NJ",
            "license": "23142",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "23142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Hospital at Monmouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.