Pinebrook Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061323 Issued in NJ

Legal business name

PINEBROOK CARE CENTER INC

Practice address

104 Pension Rd
Englishtown, NJ 07726-8400

Phone

(732) 446-3600

Fax

(732) 446-6164

NPI assigned

Aug 17, 2005

Last updated

Nov 10, 2009By 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

Mrs. Beth Goldman

Title

Controller

Phone

(732) 446-1804

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1558353557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PENSION RD",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268400",
            "telephone_number": "732-446-1804",
            "fax_number": "732-446-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PENSION RD",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268400",
            "telephone_number": "732-446-3600",
            "fax_number": "732-446-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEBROOK CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-446-1804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4489705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Englishtown, NJ
• Providers in Englishtown, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.