Brandywine Assisted Living at Governor'S Crossing

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

55A002 Issued in NJ

Legal business name

BRANDYWINE ASSISTED LIVING AT GOVERNOR'S CROSSING

Practice address

49 Lasatta Ave
Englishtown, NJ 07726-1656

Phone

(732) 786-1000

Fax

(732) 786-0689

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Melissa B Linteau

Title

Contract Manager

Phone

(908) 686-3233

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811038524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LASATTA AVE",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077261656",
            "telephone_number": "732-786-1000",
            "fax_number": "732-786-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LASATTA AVE",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077261656",
            "telephone_number": "732-786-1000",
            "fax_number": "732-786-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE ASSISTED LIVING AT GOVERNOR'S CROSSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINTEAU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "908-686-3233"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "55A002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120561",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behuman Medical Group New Jersey, P.C.
• Frederique Denisse Bergondo, MA, LMFT
• Sanjay Bhagat, M.D.
• Ashley Blatt
• Bonnie Kung DDS PC
• Ayana Caldwell-Archie
• Daryan Jared Calles, DPT
• Ashley Christine Carreiro, MSN, APN, AGNP-C
• Adam W Caruso, D.C.
• Karen Castro, M.DIV., LSW

• Assisted Living Facility in Englishtown, NJ
• Providers in Englishtown, NJ by specialty
• Assisted Living Facility in New Jersey

• 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.