Organization Active NPI

Cadbury at Cherry Hill

  • Skilled Nursing Facility
  • Cherry Hill, NJ
National Provider Identifier
1669479796
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060409 Issued in NJ
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

Updated by the provider on Mar 29, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4471105MedicaidNJ

Other names 1

  • Cadbury Nursing and Rehab Center Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.