Regency Grande Nursing and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061423 Issued in NJ

Legal business name

REGENCY GRANDE NURSING AND REHABILITATION CENTER LLC

Practice address

65 N Sussex St
Dover, NJ 07801

Phone

(973) 361-5200

Fax

(973) 361-0375

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Aaron Stefansky

Title

Controller

Phone

(732) 730-9280

Specialties & licenses 2

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1699802835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 CROSS ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-730-9280",
            "fax_number": "732-730-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N SUSSEX ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "07801",
            "telephone_number": "973-361-5200",
            "fax_number": "973-361-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY GRANDE NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "STEFANSKY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-730-9280"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NJ",
            "license": "603300",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4491807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sana Qureshi, MD
• Nicole Rose Rahul, LPC
• Rina M Ramirez-Alexander, MD
• Dimpal Narendra Rana, DNP, FNP-C
• Kelly Raquet, PT, DPT, CLT
• Mauricio Restrepo, M.D. FAAP
• Jacqueline Reyes, APN-BC
• Jeison Rivera Plata
• Dumar Rivera-Herrera, APN, CRNA
• Robert a Siegel MD

• Skilled Nursing Facility in Dover, NJ
• Providers in Dover, 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 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.