Active NPI
Great Falls Operations LLC
- Skilled Nursing Facility
- Paterson, NJ
National Provider Identifier
1699716415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 706000
- Legal business name
- GREAT FALLS OPERATIONS LLC
- Practice address
- 77 E 43Rd St
Paterson, NJ 07514-1116 - Phone
- (973) 754-6700
- Fax
- (973) 754-6707
- NPI assigned
- Jun 10, 2006
- 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. Sam Stern
- Title
- Comptroller
- Phone
- (718) 567-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 706000 | NJ | Primary |
Addresses
Primary practice location
77 E 43Rd St
Paterson, NJ 07514-1116
Mailing address
14C 53Rd St
Suite 220
Brooklyn, NY 11232-2644
Phone (718) 567-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6251404 | Medicaid | NJ |
Other names 1
- GREAT FALLS HCC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434585600000",
"number": "1699716415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14C 53RD ST",
"address_2": "SUITE 220",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112322644",
"telephone_number": "718-567-0400",
"fax_number": "718-567-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 E 43RD ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075141116",
"telephone_number": "973-754-6700",
"fax_number": "973-754-6707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT FALLS OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2015-06-18",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "COMPTROLLER",
"authorized_official_telephone_number": "718-567-0400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "706000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6251404",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GREAT FALLS HCC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.