Organization Active NPI

Dellridge Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Paramus, NJ
National Provider Identifier
1790820157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060207 Issued in NJ
Legal business name
DELLRIDGE HEALTH AND REHABILITATION CENTER
Practice address
532 N Farview Ave
Paramus, NJ 07652-4130
Phone
(201) 265-5600
Fax
(201) 261-3164
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Anne Marie Gauntlett, LNHA
Title
Administrator
Phone
(201) 265-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060207 NJ Primary

Addresses

Primary practice location

532 N Farview Ave
Paramus, NJ 07652-4130

Mailing address

532 N Farview Ave
Paramus, NJ 07652-4130
Phone (201) 265-5600

Other identifiers 1

IdentifierTypeStateIssuer
4464109MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Dellridge Health and Rehabilitation Cent3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

304 S Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 445-8200

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790820157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 N FARVIEW AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524130",
            "telephone_number": "201-265-5600",
            "fax_number": "201-261-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 N FARVIEW AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524130",
            "telephone_number": "201-265-5600",
            "fax_number": "201-261-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELLRIDGE HEALTH AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUNTLETT",
        "authorized_official_first_name": "ANNE MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-265-5600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4464109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • 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.