Meridian Nursing and Rehabilitation, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061342 Issued in NJ

Legal business name

MERIDIAN NURSING AND REHABILITATION, INC

Practice address

715 N Beers St
Holmdel, NJ 07733-1503

Phone

(732) 847-3000

NPI assigned

Feb 28, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis A Deyo

Title

Director LTC Accounts

Phone

(732) 751-3624

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bayshore Healthcare Center Doing business as

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1780009688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 HWY 138 STE A",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199671",
            "telephone_number": "732-751-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331503",
            "telephone_number": "732-847-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN NURSING AND REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "DEYO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR LTC ACCOUNTS",
        "authorized_official_telephone_number": "732-751-3624",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0388033",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meridian Hospitals Corporation
• Meridian Hospitals Corporation
• Meridian Hospitals Corporation
• Meridian Nursing and Rehabilitation Inc
• Meridian Nursing and Rehabilitation Inc
• Andrew Dale Meyers, D.D.S.
• Michael Dicarlo DDS PC
• Middletown/Holmdel Physical Therapy
• Midjersey Anesthesia Associates
• Miguelino and David Pediatric Associates,LLC

• Skilled Nursing Facility in Holmdel, NJ
• Providers in Holmdel, 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 28, 2014; 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.