Active NPI
Cadbury at Cherry Hill
- Skilled Nursing Facility
- Cherry Hill, NJ
National Provider Identifier
1669479796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060409
- Legal business name
- CADBURY AT CHERRY HILL
- Practice address
- 2150 Route 38
Cherry Hill, NJ 08002-4302 - Phone
- (856) 667-4550
- Fax
- (856) 667-3653
- NPI assigned
- Jul 5, 2005
- 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. John Kolodziej
- Title
- Cfo
- Phone
- (856) 382-4033
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 15A005 | NJ | |
| Skilled Nursing Facility | 314000000X | 060409 | NJ | Primary |
Addresses
Primary practice location
2150 Route 38
Cherry Hill, NJ 08002-4302
Mailing address
2150 Route 38
Cherry Hill, NJ 08002-4302
Phone (856) 667-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4471105 | Medicaid | NJ |
Other names 1
- Cadbury Nursing and Rehab Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332979200000",
"number": "1669479796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 ROUTE 38",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080024302",
"telephone_number": "856-667-4550",
"fax_number": "856-667-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 ROUTE 38",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080024302",
"telephone_number": "856-667-4550",
"fax_number": "856-667-3653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CADBURY AT CHERRY HILL",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-05",
"last_updated": "2012-03-29",
"status": "A",
"authorized_official_last_name": "KOLODZIEJ",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "856-382-4033",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NJ",
"license": "15A005",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4471105",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cadbury Nursing and Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.