Active NPI
Ashley Gleason
- Skilled Nursing Facility
- Fair Lawn, NJ
National Provider Identifier
1598076812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 46TA09071900
- Practice address
- 12-15 Saddle River Rd
Fair Lawn, NJ 07410-5808 - Phone
- (201) 797-9522
- NPI assigned
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 46TA09071900 | NJ | Primary |
Addresses
Primary practice location
12-15 Saddle River Rd
Fair Lawn, NJ 07410-5808
Mailing address
49 Finnigan Ave Apt K1
Saddle Brook, NJ 07663-6091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TA09071900 | NJ | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1598076812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 FINNIGAN AVE APT K1",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076636091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12-15 SADDLE RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105808",
"telephone_number": "201-797-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "46TA09071900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.