Organization Active NPI

Concord Healthcare, LLC

Doing business as Concord Healthcare & Rehabilitation Center

  • Skilled Nursing Facility
  • Lakewood, NJ
National Provider Identifier
1699740894
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NJ061519 Issued in NJ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0014613MedicaidNJ

Other names 1

  • CONCORD HEALTHCARE & REHABILITATION CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 315275 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 28, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12092.9 residents per day on average
Chain
Colev Gestetner7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0122684Concord Healthcare & Rehabilitation Center963 Ocean Avenue, Lakewood, NJ 08701Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Eliezer Grossman Individual 5% Or Greater Direct Ownership Interest Jul 2, 2003 55%
Colev J Gestetner Individual 5% Or Greater Direct Ownership Interest Jul 2, 2003 45%
W-2 Managing EmployeeManaging Member Jul 2, 2003 45%
Yehudah Kramer Individual W-2 Managing EmployeeAdministrator Oct 26, 2020 100%
Tuvya Blumenkrantz Individual W-2 Managing EmployeeBusiness Office Manager Sep 1, 2003 100%
OtherBusiness Office Manager Sep 1, 2003 100%

Practitioners & affiliated clinicians

Affiliated clinicians 7

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

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"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.