Bergen Post Acute Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BERGEN POST ACUTE CARE, LLC

Doing business as

Hackensack Meridian Health Prospect Heights Care Center

Practice address

336 Prospect Ave
Hackensack, NJ 07601

Phone

(201) 518-7800

Fax

(201) 678-1801

NPI assigned

Nov 1, 2018

Last updated

Jun 27, 2019By 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. Joseph M Lemaire

Title

President Diversified Ventures

Phone

(732) 751-7520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hackensack Meridian Health Prospect Heights Care Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hackensack Meridian Ambulatory Care, Inc

  dba JFK Advanced Medical Imaging of Old Bridge

  • Radiology Clinic/Center
  • Old Bridge, NJ
  • NPI 1861848350

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1619444221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012506",
            "telephone_number": "201-518-7800",
            "fax_number": "201-678-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-518-7800",
            "fax_number": "201-678-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN POST ACUTE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "LEMAIRE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT  DIVERSIFIED VENTURES",
        "authorized_official_telephone_number": "732-751-7520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "315460",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackensack Meridian Health Prospect Heights Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Hackensack, NJ
• Providers in Hackensack, 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 Jun 27, 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.

Verify at the official NPI Registry.