Boonton Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BOONTON CARE CENTER LLC

Practice address

199 Powerville Rd
Boonton, NJ 07005-8840

Phone

(973) 334-2454

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Usher Egert

Title

President

Phone

(973) 334-2454

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1770084527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058840",
            "telephone_number": "973-334-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONTON CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "EGERT",
        "authorized_official_first_name": "USHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-334-2454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TBD",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Berry, PT
• Haider Raza Bhutta
• Susanne E Billeter, MDIV, NCPSYA
• Jennifer Bohn
• Boonton Board of Education
• Boonton Chiropractic Health Center P.C.
• Boonton Chiropractic Health Center,P.C.
• Boonton Dental Healthcare
• Boonton Medical Associates LLC
• Boonton Podiatry

• Skilled Nursing Facility in Boonton, NJ
• Providers in Boonton, 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 Feb 27, 2018; 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.