Active NPI
Concord Healthcare, LLC
Doing business as Concord Healthcare & Rehabilitation Center
- Skilled Nursing Facility
- Lakewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NJ061519
- Legal business name
- CONCORD HEALTHCARE, LLC
- Doing business as
- Concord Healthcare & Rehabilitation Center
- Practice address
- 963 Ocean Ave
Lakewood, NJ 08701-3649 - Phone
- (732) 367-7444
- Fax
- (732) 367-7603
- NPI assigned
- Feb 21, 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. Colev J Gestetner
- Title
- Managing Member
- Phone
- (732) 367-7444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NJ061519 | NJ | Primary |
Addresses
Primary practice location
963 Ocean Ave
Lakewood, NJ 08701-3649
Mailing address
963 Ocean Ave
Lakewood, NJ 08701-3649
Phone (732) 367-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014613 | Medicaid | NJ |
Other names 1
- CONCORD HEALTHCARE & REHABILITATION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030815000031 | NJ | Part A Provider - Skilled Nursing Facility | 7517878085 | Practice locations: Lakewood, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1699740894. Details of each certification follow.
Skilled nursing facility certification: CCN 315275
- Legal name
- CONCORD HEALTHCARE, LLC
- Doing business as
- CONCORD HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 28, 1989
- Last certification
- Dec 20, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Jul 2, 2003 in NJ
- Enrollment address
- 963 Ocean Ave
Lakewood, NJ 08701-3649 - Nursing home name
- CONCORD HEALTHCARE & REHABILITATION CENTER
- Affiliated entity
- COLEV GESTETNER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Concord Healthcare & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 28, 1989
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Colev Gestetner
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0122684 | Concord Healthcare & Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
963 Ocean Ave
#88
Lakewood, NJ 08701
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Eliezer Grossman | 5% Or Greater Direct Ownership Interest | Jul 2, 2003 | 55% |
| Colev J Gestetner | 5% Or Greater Direct Ownership Interest | Jul 2, 2003 | 45% |
| W-2 Managing Employee | Jul 2, 2003 | 45% | |
| Yehudah Kramer | W-2 Managing Employee | Oct 26, 2020 | 100% |
| Tuvya Blumenkrantz | W-2 Managing Employee | Sep 1, 2003 | 100% |
| Other | Sep 1, 2003 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Ocean, NJ
- NPI 1104844778
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Manchester, NJ
- NPI 1073554879
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699740894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 OCEAN AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013649",
"telephone_number": "732-367-7444",
"fax_number": "732-367-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 OCEAN AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013649",
"telephone_number": "732-367-7444",
"fax_number": "732-367-7603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORD HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GESTETNER",
"authorized_official_first_name": "COLEV",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "732-367-7444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "NJ061519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014613",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CONCORD HEALTHCARE & REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.