Organization Active NPI

Moorestown Operator LLC

  • Skilled Nursing Facility
  • Moorestown, NJ
National Provider Identifier
1821868472
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MOORESTOWN OPERATOR LLC
Practice address
212 Marter Ave
Moorestown, NJ 08057-3114
Phone
(856) 291-4800
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Sam Stern
Title
Officer
Phone
(718) 567-9459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

212 Marter Ave
Moorestown, NJ 08057-3114

Mailing address

15 America Ave Unit 210
Lakewood, NJ 08701-4582
Phone (856) 291-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240219000946 NJ Part A Provider - Skilled Nursing Facility 4880038801 Practice locations: Moorestown, NJ

Skilled nursing facility certification: CCN 315517

Legal name
MOORESTOWN OPERATOR LLC
Doing business as
TOTAL REHAB MOORESTOWN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 10, 2014
Last certification
Apr 17, 2025
Beds
124
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Preffered Care
Most recent change of ownership
Jan 8, 2024
Organization structure
LLCProprietary
Incorporated
Dec 12, 2022 in DE
Enrollment address
212 Marter Ave
Moorestown, NJ 08057-3114
Nursing home name
TOTAL REHAB MOORESTOWN
Affiliated entity
PREFERRED CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Total Rehab MoorestownCCN 315517 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 10, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
124123.9 residents per day on average
Chain
Preferred Care13 facilities in the chain
Penalties (3 years)
1Fines totaling $25,090

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
31D2079265Total Rehab Moorestown212 Marter Avenue, Moorestown, NJ 08057Certificate of waiverJun 12, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Moorestown Operator Holdco LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 8, 2024
Dov Green Individual 5% Or Greater Indirect Ownership InterestOwner Jan 8, 2024 50%
Boruch D Mermelstein Individual 5% Or Greater Indirect Ownership InterestOwner Jan 8, 2024 50%
Samuel Stern Individual Operational/Managerial ControlCfo Jan 8, 2024
Meir Landau Individual W-2 Managing EmployeeAdministrator Jan 8, 2024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1821868472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AMERICA AVE UNIT 210",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014582",
            "telephone_number": "856-291-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MARTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573114",
            "telephone_number": "856-291-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESTOWN OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-567-9459"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.