SJV 1 Cresskill Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SJV 1 CRESSKILL OPCO LLC

Doing business as

Sunrise of Cresskill

Practice address

3 Tenakill Park E
Cresskill, NJ 07626-2051

Phone

(201) 871-0300

Fax

(201) 871-1331

NPI assigned

Mar 4, 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

• Sunrise of Cresskill Doing business as

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1740875327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TENAKILL PARK E",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262051",
            "telephone_number": "201-871-0300",
            "fax_number": "201-871-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TENAKILL PARK E",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262051",
            "telephone_number": "201-871-0300",
            "fax_number": "201-871-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJV 1 CRESSKILL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "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": "0940739",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Cresskill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise of Cresskill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shai Shoshani, MD
• Erika N. Silva, LCSW
• Raul R Silva, M.D.
• Joy A Simha, LCSW
• Lori Simon, M.D.
• Bridget Smith, LSW
• Une Ho Song, L.AC. DIPL.O.M.
• Madison Victoria Spina, APN-C
• Sports Medicine Center of Bergen, PA (Excel Orthopedic Rehabilitation)
• Lisa Sternbach, LCSW

• Assisted Living Facility in Cresskill, NJ
• Providers in Cresskill, 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.