Active NPI
Yom Tov Convalescent Center, Inc.
Doing business as Maywood Center for Health & Rehabilitation
- Skilled Nursing Facility
- Maywood, NJ
National Provider Identifier
1821077108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 60203
- Legal business name
- YOM TOV CONVALESCENT CENTER, INC.
- Doing business as
- Maywood Center for Health & Rehabilitation
- Practice address
- 100 W Magnolia Ave
Maywood, NJ 07607-1121 - Phone
- (201) 843-8411
- Fax
- (201) 373-8292
- NPI assigned
- Jan 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra A Olshalsky
- Title
- Administrator
- Phone
- (201) 843-8411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 60203 | NJ | Primary |
Addresses
Primary practice location
100 W Magnolia Ave
Maywood, NJ 07607-1121
Mailing address
100 W Magnolia Ave
Maywood, NJ 07607-1121
Phone (201) 843-8411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4463404 | Medicaid | NJ |
Other names 1
- Maywood Center for Health & Rehabilitation
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2192938 | Maywood Center for Health & Rehabilitation | Certificate of waiver | Sep 15, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329350400000",
"number": "1821077108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W MAGNOLIA AVE",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071121",
"telephone_number": "201-843-8411",
"fax_number": "201-373-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W MAGNOLIA AVE",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071121",
"telephone_number": "201-843-8411",
"fax_number": "201-373-8292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOM TOV CONVALESCENT CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-13",
"last_updated": "2012-02-16",
"status": "A",
"authorized_official_last_name": "OLSHALSKY",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "201-843-8411",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "60203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4463404",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maywood Center for Health & Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.