Eastern Pines Care and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EASTERN PINES CARE AND REHABILITATION CENTER LLC

Doing business as

Excel Care at The Pines

Practice address

29 N Vermont Ave
Atlantic City, NJ 08401-5561

Phone

(609) 344-8900

NPI assigned

Sep 21, 2023

Last updated

Sep 21, 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

Sam Stern

Title

Cfo

Phone

(877) 567-0402

Specialties & licenses 1

Addresses

Other names 1

• Excel Care at The Pines Doing business as

Tax ID family

Eastern Pines Care and Rehabilitation Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eastern Pines Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Atlantic City, NJ
  • NPI 1649939638
  NPD tax ID

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1699553446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644",
            "telephone_number": "718-567-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N VERMONT AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015561",
            "telephone_number": "609-344-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PINES CARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "877-567-0402"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Care at The Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Irene M. Ryan
• Reva Dubin, MD
• Sondra Jill Dublinsky, LCSW, LCADC
• Brittany C. Eason, DO
• Eastern Pines Care and Rehabilitation Center LLC
• Eastern Pines LLC
• Eastern Pines LLC
• Esther Edusei
• Elevate USA Consulting Inc
• Michele Emery, NP

• Skilled Nursing Facility in Atlantic City, NJ
• Providers in Atlantic City, 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 Sep 21, 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.