Organization Active NPI

Yom Tov Convalescent Center, Inc.

Doing business as Maywood Center for Health & Rehabilitation

  • Skilled Nursing Facility
  • Maywood, NJ
National Provider Identifier
1821077108
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
60203 Issued in NJ
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

Updated by the provider on Feb 16, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4463404MedicaidNJ

Other names 1

  • Maywood Center for Health & Rehabilitation Doing business as

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
31D2192938Maywood Center for Health & Rehabilitation100 West Magnolia Ave, Maywood, NJ 07607Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.