Organization Active NPI

Princeton Healthcare System, a New Jersey Non-Profit Corporation

Doing business as Merwick Rehab Hospital & Nursing Care

  • Nursing Care Agency
  • Princeton, NJ
National Provider Identifier
1710029046
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION
Doing business as
Merwick Rehab Hospital & Nursing Care
Practice address
79 Bayard LN
Princeton, NJ 08540-3045
Phone
(609) 497-3000
NPI assigned
Feb 13, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Bruce Traub
Title
Chief Financial Officer
Phone
(609) 497-4107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NJ Primary

Addresses

Primary practice location

79 Bayard LN
Princeton, NJ 08540-3045

Mailing address

79 Bayard LN
Princeton, NJ 08540-3045
Phone (609) 497-3000

Other identifiers 3

IdentifierTypeStateIssuer
5750695OtherNJAETNA MERWICK SNF
4482808MedicaidNJ
000753OtherNJHORIZON MEDI MERWICK SNF

Other names 1

  • Merwick Rehab Hospital & Nursing Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Merwick Care Rehabilitation Center2 organizations share this tax ID, including this one
Part of
Princeton House Behavioral Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 759-6000

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710029046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BAYARD LN",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403045",
            "telephone_number": "609-497-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BAYARD LN",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403045",
            "telephone_number": "609-497-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRAUB",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "609-497-4107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MERWICK SNF",
            "identifier": "5750695",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4482808",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MEDI MERWICK SNF",
            "identifier": "000753",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merwick Rehab Hospital & Nursing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.