229 Bath Avenue Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061318 Issued in NJ

Legal business name

229 BATH AVENUE INC

Practice address

229 Bath Ave
Long Branch, NJ 07740-6102

Phone

(732) 229-4300

Fax

(732) 571-0165

NPI assigned

Aug 17, 2005

Last updated

Oct 20, 2011By 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": "1319068800000",
    "number": "1629060629",
    "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": "229 BATH AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406102",
            "telephone_number": "732-229-4300",
            "fax_number": "732-571-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "229 BATH AVENUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-10-20",
        "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": "061318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4490908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaa Medical Depot LLC
• Basima Abdelsalam, DMD
• Reshma Abraham, MD
• Lisa Abramson, L.AC.
• Sankalp Sanjaykumar Acharya, MD

• Skilled Nursing Facility in Long Branch, NJ
• Providers in Long Branch, 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 Oct 20, 2011; 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.