Organization Active NPI

Pope John II Pavillion

  • Skilled Nursing Facility
  • Orange, NJ
National Provider Identifier
1811032519
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
POPE JOHN II PAVILLION
Practice address
135 S Center St
Orange, NJ 07050-3522
Phone
(973) 266-3302
NPI assigned
Feb 20, 2007
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Chavie Katz
Title
Billing Supervisor
Phone
(718) 567-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

135 S Center St
Orange, NJ 07050-3522

Mailing address

170 53Rd Street
Brooklny, NY 11322

National Provider Directory

National Provider Directory
Tax ID family
Pope John II Pavillion2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1811032519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 53RD STREET",
            "city": "BROOKLNY",
            "state": "NY",
            "postal_code": "11322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S CENTER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503522",
            "telephone_number": "973-266-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE JOHN II PAVILLION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "CHAVIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "718-567-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.