Active NPI
Moorestown Operator LLC
- Skilled Nursing Facility
- Moorestown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Moorestown
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 10, 2014
- Medicare certification status
- Active
- Certified beds
- 124
- Chain
- Preferred Care
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 31D2079265 | Total Rehab Moorestown | Certificate of waiver | Jun 12, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Moorestown Operator Holdco LLC | 5% Or Greater Direct Ownership Interest | Jan 8, 2024 | |
| Dov Green | 5% Or Greater Indirect Ownership Interest | Jan 8, 2024 | 50% |
| Boruch D Mermelstein | 5% Or Greater Indirect Ownership Interest | Jan 8, 2024 | 50% |
| Samuel Stern | Operational/Managerial Control | Jan 8, 2024 | |
| Meir Landau | W-2 Managing Employee | 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.
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1710900865
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Voorhees, NJ
- NPI 1720227002
Nursing home
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
- Moorestown Eye Associates
- Moorestown Family Practice, P.C.
- Moorestown First Aid and Emergency Squad, Inc. (Moorestown Emergency Medical Services)
- Moorestown Integrative Wellness Inc.
- Moorestown Internal Medicine, P.C.
- Moorestown Pediatrics, LLP
- Moorestown Primary Care
- Moorestown Smile Center LLC
- Moorestown Township Public Schools
- Moorestown Visiting Nurse Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.