NPIMap

Organization Active NPI

Runnells BH Operating LLC

  • Long Term Care Hospital
  • Berkeley Heights, NJ
National Provider Identifier
1679974174
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
22001 Issued in NJ
Legal business name
RUNNELLS BH OPERATING LLC
Practice address
40 Watchung Way
Berkeley Heights, NJ 07922-2600
Phone
(718) 360-8083
Fax
(718) 732-2481
NPI assigned
Sep 16, 2014
Organization subpart
Yes
Parent organization
RUNNELLS VENTURES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan Rosenberg
Title
Managing Member
Phone
(732) 335-6951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 22001 NJ Primary

Addresses

Primary practice location

40 Watchung Way
Berkeley Heights, NJ 07922-2600

Mailing address

49 Hamlin Rd
Edison, NJ 08817-2951
Phone (718) 360-8083

Other identifiers 2

IdentifierTypeStateIssuer
3682307MedicaidNJ
0199338MedicaidNJ

Other names 1

  • Runnells Specialized Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Runnells BH Operating LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1679974174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HAMLIN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172951",
            "telephone_number": "718-360-8083",
            "fax_number": "718-732-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WATCHUNG WAY",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222600",
            "telephone_number": "718-360-8083",
            "fax_number": "718-732-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNELLS BH OPERATING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUNNELLS VENTURES LLC",
        "enumeration_date": "2014-09-16",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-335-6951"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NJ",
            "license": "22001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3682307",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199338",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Runnells Specialized Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.