Secaucus Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060918 Issued in NJ

Legal business name

SECAUCUS HEALTHCARE CENTER LLC

Practice address

595 County Ave
Secaucus, NJ 07094-2605

Phone

(201) 863-8866

Fax

(201) 863-1057

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sam Stern

Title

Comptroller

Phone

(718) 567-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HUDSON MANOR HEALTHCARE CENTER Doing business as

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730121005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 53RD ST",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112324319",
            "telephone_number": "718-567-0400",
            "fax_number": "718-567-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 COUNTY AVE",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942605",
            "telephone_number": "201-863-8866",
            "fax_number": "201-863-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECAUCUS HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "718-567-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8974306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUDSON MANOR HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary R Schmidt, PT
• Alison Schwartz, LCSW, LCADC
• Carole E Schwartz, LCSW
• Secaucus Dental Group, LLC
• Secaucus Healthcare Center LLC
• Secaucus Heart
• Secaucus Physician Associates
• Secaucus School District
• Ilise-Kelly Serrano
• Ankur Shah, RPH.

• Skilled Nursing Facility in Secaucus, NJ
• Providers in Secaucus, 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 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.