Victoria Mews Assisted Living Community of Boonton TWP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

60A004 Issued in NJ

Legal business name

VICTORIA MEWS ASSISTED LIVING COMMUNITY OF BOONTON TWP

Practice address

51 N Main St
Boonton, NJ 07005-8740

Phone

(973) 263-3000

Fax

(973) 263-3107

NPI assigned

Feb 6, 2007

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. Patrick Michael Calello, CALA

Title

Executive Director

Phone

(973) 263-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Victoria Mews Assisted Living Other name

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538208160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N MAIN ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058740",
            "telephone_number": "973-263-3000",
            "fax_number": "973-263-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N MAIN ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058740",
            "telephone_number": "973-263-3000",
            "fax_number": "973-263-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA MEWS ASSISTED LIVING COMMUNITY OF BOONTON TWP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALELLO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-263-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "60A004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013340",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Mews Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Ellen Troxler, LSW
• Leilah M Tyree, CNM
• Marissa Ur
• Elizabeth Davie Vandusen, MPS, ATR-BC, LPAT
• Kamila Veljkovic, CNS
• John Villada, LSW
• Juliet Maria Villegas, DO
• Anjali Chinmay Vyas
• Jennifer Lynn Wagner, MSOTR/L
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5077)

• Assisted Living Facility in Boonton, NJ
• Providers in Boonton, 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 Aug 22, 2020; 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.