St. Barnabas Assisted Living at Lakewood

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

65A103 Issued in NJ

Legal business name

ST. BARNABAS ASSISTED LIVING AT LAKEWOOD

Practice address

77 Williams St
Lakewood, NJ 08701-4728

Phone

(973) 450-2942

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Gennaro Rotella

Title

V.P. Financial Operations

Phone

(973) 450-2942

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750454005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WILLIAMS ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WILLIAMS ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014728",
            "telephone_number": "973-450-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BARNABAS ASSISTED LIVING AT LAKEWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTELLA",
        "authorized_official_first_name": "GENNARO",
        "authorized_official_title_or_position": "V.P. FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "973-450-2942"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "65A103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8112207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Spruce, BCBA
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• Daniel Stabile, M.D.
• Edith C. Stanford, P.T.A.
• Stanley Weinstein MD PA
• Star Pharmacy Inc.
• Star Speech Services LLC

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