Active NPI
Interim Healthcare of Saddle Brook, Inc.
- Home Health Agency
- Saddle Brook, NJ
National Provider Identifier
1609095314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HP0011201
- Legal business name
- INTERIM HEALTHCARE OF SADDLE BROOK, INC.
- Practice address
- 15 5TH Street
Saddle Brook, NJ 07663 - Phone
- (201) 843-0190
- Fax
- (201) 843-3284
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Lewandoski
- Title
- President Ceo
- Phone
- (201) 843-0190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HP0011201 | NJ | Primary |
Addresses
Primary practice location
15 5TH Street
Saddle Brook, NJ 07663
Mailing address
15 5TH Street
Saddle Brook, NJ 07663
Phone (201) 843-0190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068802 | Medicaid | NJ | |
| A490345 | Other | NJ | OXFORD HEALTH INS. ID |
National Provider Directory
National Provider DirectoryLocations
15 N 5th St
Saddle Brook, NJ 07663
Phone (201) 843-0190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609095314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 5TH STREET",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "07663",
"telephone_number": "201-843-0190",
"fax_number": "201-843-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 5TH STREET",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "07663",
"telephone_number": "201-843-0190",
"fax_number": "201-843-3284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERIM HEALTHCARE OF SADDLE BROOK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEWANDOSKI",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "201-843-0190",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "HP0011201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0068802",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH INS. ID",
"identifier": "A490345",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saddle Brook, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.