Active NPI
Virtua Health & Rehabilitation Center at Berlin, Inc.
Doing business as Virtua Health and Rehabilitation Center at Berlin Inc
- Skilled Nursing Facility
- Berlin, NJ
National Provider Identifier
1578555140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 156001
- Legal business name
- VIRTUA HEALTH & REHABILITATION CENTER AT BERLIN, INC.
- Doing business as
- Virtua Health and Rehabilitation Center at Berlin Inc
- Practice address
- 100 Long a Coming LN
Berlin, NJ 08009-1964 - Phone
- (856) 322-3684
- Fax
- (856) 322-3601
- NPI assigned
- Aug 18, 2005
- Organization subpart
- Yes
- Parent organization
- VIRTUA HEALTH INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis Pullin
- Title
- President/Ceo
- Phone
- (856) 355-0004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 156001 | NJ | Primary |
Addresses
Primary practice location
100 Long a Coming LN
Berlin, NJ 08009-1964
Mailing address
20 W. Stow Rd.
Ste 8
Marlton, NJ 08053
Phone (856) 355-0655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8121702 | Medicaid | NJ |
Other names 1
- Virtua Health and Rehabilitation Center at Berlin Inc
National Provider Directory
National Provider Directory- Part of
- Virtua Health Inc
Locations
20 W Stow Rd
Ste 8
Marlton, NJ 08053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1578555140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 W. STOW RD.",
"address_2": "STE 8",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-355-0655",
"fax_number": "856-355-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LONG A COMING LN",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080091964",
"telephone_number": "856-322-3684",
"fax_number": "856-322-3601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRTUA HEALTH & REHABILITATION CENTER AT BERLIN, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VIRTUA HEALTH INC.",
"enumeration_date": "2005-08-18",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "PULLIN",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "856-355-0004",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "156001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8121702",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Virtua Health and Rehabilitation Center at Berlin Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Virtua Health and Rehabilitation Center at Berlin Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Berlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.