Independence Manor at Hunterdon Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

45A000 Issued in NJ

Legal business name

INDEPENDENCE MANOR AT HUNTERDON INC

Practice address

188 Route 31
Flemington, NJ 08822-5735

Phone

(908) 788-4893

Fax

(908) 788-3783

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary P Nagle

Title

Ceo

Phone

(908) 788-4893

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699984930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ROUTE 31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225735",
            "telephone_number": "908-788-4893",
            "fax_number": "908-788-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ROUTE 31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225735",
            "telephone_number": "908-788-4893",
            "fax_number": "908-788-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE MANOR AT HUNTERDON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-788-4893",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "45A000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8210501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Ibezim
• Zuhaib Ibrahim, M.D.
• Dominic Ikotidem, RN
• Dubravka Imsirovic Starcevic, MD
• Paula P Incalcaterra, APRN
• Integrative Chiropractic Center
• Internal Medicine Practice of Hunterdon County, LLC
• Lori S Ioriatti, CPNP
• Sumra Iqbal, MD
• Ira Liebross, MD

• Assisted Living Facility in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Assisted Living Facility in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.