SJV 1 Florham Park Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SJV 1 FLORHAM PARK OPCO LLC

Doing business as

Brighton Gardens of Florham Park

Practice address

21 Ridgedale Ave
Florham Park, NJ 07932-2336

Phone

(973) 966-8999

Fax

(973) 966-8998

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Tony J. Harris

Title

Senior Reimbursement Manager

Phone

(703) 854-0830

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brighton Gardens of Florham Park Doing business as

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1730771650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RIDGEDALE AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322336",
            "telephone_number": "973-966-8999",
            "fax_number": "973-966-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RIDGEDALE AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322336",
            "telephone_number": "973-966-8999",
            "fax_number": "973-966-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJV 1 FLORHAM PARK OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "703-854-0830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0919110",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Gardens of Florham Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brighton Gardens of Florham Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.