Eastern Pines LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060103 Issued in NJ

Legal business name

EASTERN PINES LLC

Practice address

29 N Vermont Ave
Atlantic City, NJ 08401-5561

Phone

(609) 344-8900

NPI assigned

Dec 14, 2011

Last updated

Dec 14, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

EASTERN PINES LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Beth Goldman

Title

Controller

Phone

(732) 446-1804

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eastern Pines Vent Unit Other name

Part of

Eastern Pines LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Eastern Pines LLC

  • Skilled Nursing Facility
  • Atlantic City, NJ
  • NPI 1437141348
  NPPES parent name

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1710256177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PENSION RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268400",
            "telephone_number": "732-446-1804",
            "fax_number": "732-446-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N VERMONT AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015561",
            "telephone_number": "609-344-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PINES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTERN PINES LLC",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-446-1804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199044",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Pines Vent Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sondra Jill Dublinsky, LCSW, LCADC
• Brittany C. Eason, DO
• Eastern Pines Care and Rehabilitation Center LLC
• Eastern Pines Care and Rehabilitation Center LLC (Excel Care at The Pines)
• Eastern Pines LLC
• Esther Edusei
• Elevate USA Consulting Inc
• Michele Emery, NP
• Enlightened Solutions Detox LLC
• Rebecca Erb

• Skilled Nursing Facility in Atlantic City, NJ
• Providers in Atlantic City, 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 Dec 14, 2011; 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.