Organization Active NPI

Meridian Nursing and Rehabilitation,Inc.

Doing business as Meridian Nursing & Rehab at Brick

  • Skilled Nursing Facility
  • Brick, NJ
National Provider Identifier
1790786572
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
656001 Issued in NJ
Legal business name
MERIDIAN NURSING AND REHABILITATION,INC.
Doing business as
Meridian Nursing & Rehab at Brick
Practice address
415 Jack Martin Blvd
Brick, NJ 08724-7732
Phone
(732) 206-8000
Fax
(732) 206-1922
NPI assigned
Aug 3, 2005
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Mrs. Ariel Kirchner, LNHA
Title
Administrator
Phone
(732) 206-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 656001 NJ Primary

Addresses

Primary practice location

415 Jack Martin Blvd
Brick, NJ 08724-7732

Mailing address

415 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 206-8000

Other identifiers 1

IdentifierTypeStateIssuer
6523609MedicaidNJ

Other names 1

  • Meridian Nursing & Rehab at Brick Doing business as

National Provider Directory

National Provider Directory

Locations

415 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 206-8000

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1790786572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-206-8000",
            "fax_number": "732-206-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-206-8000",
            "fax_number": "732-206-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN NURSING AND REHABILITATION,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "KIRCHNER",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-206-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "656001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6523609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Nursing & Rehab at Brick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.