499 Pine Brook Operating, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061409 Issued in NJ

Legal business name

499 PINE BROOK OPERATING, LLC

Doing business as

Lincoln Park Care Center

Practice address

499 Pine Brook Rd
Lincoln Park, NJ 07035-1804

Phone

(973) 696-3300

NPI assigned

Dec 26, 2012

Last updated

Dec 26, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

499 PINE BROOK VENTURES, LLCAs reported in NPPES

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

Authorized official

Name

Charles-Edouard Gros

Title

Managing Member

Phone

(973) 696-3300

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Lincoln Park Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689910432. Details of each certification follow.

• CCN 315249 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315249

Legal name

499 PINE BROOK OPERATING LLC

Doing business as

LINCOLN PARK CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1987

Last certification

Aug 26, 2024

Beds

547

Ownership / control type

Corporation

Organization structure

LLCProprietary

Incorporated

Sep 6, 2012 in NJ

Enrollment address

499 Pine Brook Rd
Lincoln Park, NJ 07035-1804

Nursing home name

LINCOLN PARK CARE CENTER

Affiliated entity

CENTER MANAGEMENT GROUP

Listed as

Lincoln Park Care CenterCCN 315249 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 1, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

547527.4 residents per day on average

Chain

Center Management Group16 facilities in the chain

Penalties (3 years)

1Fines totaling $21,645

Processed by Care Compare on Aug 1, 2026.

Tax ID family

499 Pine Brook 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.

• Lincoln Park Care Center

  • Nursing Facility/Intermediate Care Facility
  • Orange, NJ
  • NPI 1295149201
  NPD tax ID
• Lincoln Park Care Center LLC

  • Skilled Nursing Facility
  • Lincoln Park, NJ
  • NPI 1134182934
  NPD tax ID

Locations

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Manish P Luhana, M.D.

  • Internal Medicine Physician
  • Parsippany, NJ
  • NPI 1558347641

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nawar Al Obaidi, MD

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1437511219
  NPD (past)
• Ritesh Kumar, MD

  • Internal Medicine Physician
  • Pompton Plains, NJ
  • NPI 1699037382
  NPD (past)
• Manish P Luhana, M.D.

  • Internal Medicine Physician
  • Parsippany, NJ
  • NPI 1558347641
  NPD (past)

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nawar Al Obaidi, MD

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1437511219

  Nursing home

  Care Compare affiliation
• Elsaid Balboul, MD

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1467421339

  Nursing home

  Care Compare affiliation
• Anthony J Barravecchio, D.O.

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1114996477

  Nursing home

  Care Compare affiliation
• Ritesh Kumar, MD

  • Internal Medicine Physician
  • Pompton Plains, NJ
  • NPI 1699037382

  Nursing home

  Care Compare affiliation
• Manish P Luhana, M.D.

  • Internal Medicine Physician
  • Parsippany, NJ
  • NPI 1558347641

  Nursing home

  Care Compare affiliation
• Liviu Rappaport, M.D.

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1629013933

  Nursing home

  Care Compare affiliation
• Adrienne Lynn Salerno, M.D.

  • Family Medicine Physician
  • Hawthorne, NJ
  • NPI 1750563805

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1689910432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 PINE BROOK RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351804",
            "telephone_number": "973-696-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 PINE BROOK RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351804",
            "telephone_number": "973-696-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "499 PINE BROOK OPERATING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "499 PINE BROOK VENTURES, LLC",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "GROS",
        "authorized_official_first_name": "CHARLES-EDOUARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-696-3300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- NY SPECIAL PROVIDER ID",
            "identifier": "02621447",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4491203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Park Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 521 Pine Brook Operating, LLC (Lincoln Park Renaissance)
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• Evelyn Adamski, RPH
• Advanced Chiropractic Care, PC

• Skilled Nursing Facility in Lincoln Park, NJ
• Providers in Lincoln Park, 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 Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.