Organization Active NPI

Margaret Anna Cusack Care Center,Inc

  • Skilled Nursing Facility
  • Jersey City, NJ
National Provider Identifier
1699892315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030905 Issued in NJ
Legal business name
MARGARET ANNA CUSACK CARE CENTER,INC
Practice address
537 Pavonia Ave
Jersey City, NJ 07306-1803
Phone
(201) 653-8300
Fax
(201) 653-7705
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ann Taylor, L.N.H.A.
Title
Administrator
Phone
(201) 653-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030905 NJ Primary

Addresses

Primary practice location

537 Pavonia Ave
Jersey City, NJ 07306-1803

Mailing address

537 Pavonia Avenue
Jersey City, NJ 07306
Phone (201) 653-8300

Other identifiers 1

IdentifierTypeStateIssuer
4479904MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000512 NJ Part A Provider - Skilled Nursing Facility 8729183520 Practice locations: Jersey City, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699892315. Details of each certification follow.

Skilled nursing facility certification: CCN 315452

Legal name
MARGARET ANNA CUSACK CARE CENTER,INC
Doing business as
PEACE CARE ST. JOSEPH'S
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1997
Last certification
Nov 7, 2024
Beds
139
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
537 Pavonia Avenue
Margaret Anna Cusack Care Center
Jersey City, NJ 07306-1803
Nursing home name
PEACE CARE ST JOSEPH'S

Care Compare: Nursing home

Medicare Care Compare
Listed as
Peace Care St Joseph'sCCN 315452 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
139124.7 residents per day on average
Penalties (3 years)
22Fines totaling $170,052

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
31D2189821Peace Care St Joseph's537 Pavonia Avenue, Jersey City, NJ 07306Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: alexr@meddirect.cusackcarecenter.org
  • Direct secure messaging: deborahp@meddirect.cusackcarecenter.org
  • Direct secure messaging: ernestcj@meddirect.cusackcarecenter.org
  • Direct secure messaging: monad@meddirect.cusackcarecenter.org

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Atlanta, GA Medical staffing company Adp of the SNF Aug 23, 2024
Silvana Buccianti Individual Corporate OfficerSecretary Jul 1, 2024
Managing Control - Governing BodySecretary Jul 1, 2018
Trustee of the SNF Jul 1, 2018
Organization, Boston, MA Corporation Adp of the SNF Jan 11, 2023
Peace Care Inc Organization, Jersey City, NJ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2016 100%
Elizabeth Doren Individual Corporate Officer Jul 1, 2024
Managing Control - Governing Body Jul 1, 2018
Trustee of the SNF Jul 1, 2018
Individual Adp of the SNF Feb 24, 2025
Teresa Donohue Individual Corporate Officer Jun 30, 2024
Managing Control - Governing Body Mar 28, 2016
Trustee of the SNF Mar 28, 2016
Organization, Teaneck, NJ Medical provider/supplier Adp of the SNF Sep 30, 2020
Organization, Murray, UT Medical staffing company Adp of the SNF Apr 10, 2024
Kyle S Hreben Individual Corporate OfficerCeo Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Organization, Bordentown, NJ Consulting firm Adp of the SNF Jan 1, 2024
Organization, Jersey City, NJ Medical staffing company Adp of the SNF Feb 15, 2022
Peace Ministries Inc Organization, Englewood, NJ Created for acquisition, Consulting firm 5% Or Greater Indirect Ownership Interest Jun 1, 2016 100%
Operational/Managerial Control Jun 1, 2016
Donald E. Lynch Individual Corporate OfficerOfficer Oct 1, 2022
Operational/Managerial Control Oct 1, 2022
Organization, Norwell, MA Corporation Adp of the SNF Sep 30, 2020
Organization, Blue Bell, PA Non-profit Adp of the SNF Mar 1, 2025
Individual Adp of the SNF Feb 5, 2024

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 10

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699892315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 PAVONIA AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-653-8300",
            "fax_number": "201-653-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 PAVONIA AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061803",
            "telephone_number": "201-653-8300",
            "fax_number": "201-653-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET ANNA CUSACK CARE CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-653-8300",
        "authorized_official_credential": "L.N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "030905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4479904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.