Woodbury Senior Housing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

35A010 Issued in NJ

Legal business name

WOODBURY SENIOR HOUSING LLC

Doing business as

Woodbury Mews Senior Living

Practice address

124 Green Ave
Woodbury, NJ 08096-2768

Phone

(856) 384-6600

NPI assigned

Nov 27, 2017

Last updated

Jan 19, 2023By 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

Greta Frazier

Title

Director

Phone

(520) 797-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodbury Mews Senior Living Doing business as

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1649784877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962768",
            "telephone_number": "856-384-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY SENIOR HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "35A010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSERY DEPARTMENT OF HEALTH",
            "identifier": "35A010",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbury Mews Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Woodbury Diagnostics Lab
• Woodbury Family Practice Associates PA
• Woodbury Medical Office PA
• Woodbury Physical Medicine, LLC
• Woodbury Public Schools
• Woodbury SNF Operations LLC (Atlas Post Acute at Woodbury Country Club)
• Woodbury Surgical Associates
• Woods Manor
• Lauresa Woolfolk, LAC
• Benjamin Wright, CRNA

• Assisted Living Facility in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.