NPIMap

Organization Active NPI

The Estaugh

  • Skilled Nursing Facility
  • Medford, NJ
National Provider Identifier
1740279652
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE ESTAUGH
Practice address
1 Medford Leas
Medford, NJ 08055-2254
Phone
(609) 654-3000
Fax
(609) 654-7894
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Mr. Jeremy M Vickers
Title
Chief Executive Officer
Phone
(609) 654-3009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 060308 NJ
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1 Medford Leas
Medford, NJ 08055-2254

Mailing address

1 Medford Leas
Medford, NJ 08055-2254
Phone (609) 654-3000

Other names 1

  • Medford Leas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000484 NJ Part A Provider - Skilled Nursing Facility 6608833512 Practice locations: Medford, NJ

Skilled nursing facility certification: CCN 315144

Legal name
THE ESTAUGH
Doing business as
MEDFORD LEAS
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Apr 1, 1973
Last certification
Feb 25, 2025
Beds
24
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 3, 1914 in NJ
Enrollment address
One Medford Leas Way
Medford, NJ 08055-2261
Nursing home name
MEDFORD LEAS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medford LeasCCN 315144
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Apr 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
249.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Medford Leas3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Charles Damico Individual Operational/Managerial Control May 13, 2019
Adp of the SNF May 13, 2019
Margaret Morgan Individual Corporate OfficerBoard Member Oct 14, 2025
Jeremy Vickers Individual Corporate OfficerCeo Oct 11, 2010
Operational/Managerial Control Oct 11, 2010
Adp of the SNF Mar 11, 2025
Richard Cleaver Individual Corporate OfficerBoard Member Oct 14, 2025
Robert Kreider Individual Corporate OfficerClerk Oct 14, 2025
Abby Loftus Individual Corporate DirectorCfo May 18, 2015
Scott Richard Jones Individual Corporate OfficerTreasurer Oct 29, 2020
Diane Symcak Individual Corporate OfficerRecording Clerk Oct 29, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1740279652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDFORD LEAS",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552254",
            "telephone_number": "609-654-3000",
            "fax_number": "609-654-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDFORD LEAS",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552254",
            "telephone_number": "609-654-3000",
            "fax_number": "609-654-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ESTAUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "609-654-3009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "060308",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medford Leas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medford Leas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.