Lincoln Park Renaissance Rehab. & Nursing Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061408 Issued in NJ

Legal business name

LINCOLN PARK RENAISSANCE REHAB. & NURSING CENTER LLC

Practice address

499 Pine Brook Rd
Lincoln Park, NJ 07035-1804

Phone

(973) 696-3300

Fax

(973) 633-8747

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mimi Feliciano

Title

Ceo

Phone

(973) 696-3300

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1730142423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 PINE BROOK RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351804",
            "telephone_number": "973-696-3300",
            "fax_number": "973-633-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 PINE BROOK RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351804",
            "telephone_number": "973-696-3300",
            "fax_number": "973-633-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK RENAISSANCE REHAB. & NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-696-3300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01216893",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4491904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln Park Board of Education
• Lincoln Park Care Center LLC
• Lincoln Park Health Department
• Lincoln Park Hospice
• Lincoln Park Physical Therapy and Sports Rehabilitation, LLC
• Diane Magee
• Sandra J Mainardi, PTA
• Melissa Marie Manning
• Leon M Marsh
• Chris Mathew, DPT

• Skilled Nursing Facility in Lincoln Park, NJ
• Providers in Lincoln Park, 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 Nov 26, 2007; 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.