Organization Active NPI

Tower Lodge Care Center, LLC

  • Skilled Nursing Facility
  • Wall, NJ
National Provider Identifier
1811089626
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TOWER LODGE CARE CENTER, LLC
Practice address
1506 Gully Rd
Wall, NJ 07719-4443
Phone
(732) 681-1400
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Mr. Pinchus Feigenbaum
Title
Partner
Phone
(732) 681-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1506 Gully Rd
Wall, NJ 07719-4443

Mailing address

1506 Gully Rd
Wall, NJ 07719-4443
Phone (732) 681-1400

Other identifiers 1

IdentifierTypeStateIssuer
4488806MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090506000127 NJ Part A Provider - Skilled Nursing Facility 7719035534 Practice locations: Wall, NJ

Skilled nursing facility certification: CCN 315069

Legal name
TOWER LODGE CARE CENTER, LLC
Doing business as
TOWER LODGE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 22, 1967
Last certification
Sep 18, 2024
Beds
60
Ownership / control type
Partnership
Organization structure
LLCProprietary
Incorporated
Sep 1, 1997 in NJ
Enrollment address
1506 Gully Rd
Wall, NJ 07719-4443
Nursing home name
TOWER LODGE CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tower Lodge Care CenterCCN 315069
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 22, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0948037Tower Lodge Care Center1506 Gully Road, Wall, NJ 07719Certificate of waiverFeb 15, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yaakov Fisher Individual W-2 Managing Employee Jul 19, 2021 75%
Pinchas Feigenbaum Individual 5% Or Greater Direct Ownership Interest Mar 26, 2009
Chanie Feigenbaum Individual 5% Or Greater Direct Ownership Interest Mar 26, 2009

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1811089626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 GULLY RD",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077194443",
            "telephone_number": "732-681-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 GULLY RD",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077194443",
            "telephone_number": "732-681-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER LODGE CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "FEIGENBAUM",
        "authorized_official_first_name": "PINCHUS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-681-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4488806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall, NJ

Sources for this page

Verify at the official NPI Registry.