Active NPI
County of Union
- Skilled Nursing Facility
- Berkeley Heights, NJ
National Provider Identifier
1710137104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 22001L
- Legal business name
- COUNTY OF UNION
- Doing business as
- Runnells Specialized Hospital
- Practice address
- 40 Watchung Way
Berkeley Heights, NJ 07922-2600 - Phone
- (908) 771-5705
- Fax
- (908) 771-0376
- NPI assigned
- Sep 23, 2008
- Organization subpart
- Yes
- Parent organization
- COUNTY OF UNION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael T. Drummond
- Title
- Director - Hospital Finance
- Phone
- (908) 771-5705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 22001L | NJ | Primary |
Addresses
Primary practice location
40 Watchung Way
Berkeley Heights, NJ 07922-2600
Mailing address
40 Watchung Way
Finance Dept.
Berkeley Heights, NJ 07922-2600
Phone (908) 771-5705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4505514 | Medicaid | NJ | |
| 4505506 | Medicaid | NJ |
Other names 1
- Runnells Specialized Hospital
National Provider Directory
National Provider Directory- Part of
- Runnells Spec Hosp Unio
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1710137104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WATCHUNG WAY",
"address_2": "FINANCE DEPT.",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222600",
"telephone_number": "908-771-5705",
"fax_number": "908-771-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WATCHUNG WAY",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222600",
"telephone_number": "908-771-5705",
"fax_number": "908-771-0376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF UNION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF UNION",
"enumeration_date": "2008-09-23",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "DRUMMOND",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "DIRECTOR - HOSPITAL FINANCE",
"authorized_official_telephone_number": "908-771-5705",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "22001L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4505514",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4505506",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Runnells Specialized Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.