Organization Active NPI

Rahway Geriatrics Center, Inc.

  • Skilled Nursing Facility
  • Rahway, NJ
National Provider Identifier
1831131507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
062018 Issued in NJ
Legal business name
RAHWAY GERIATRICS CENTER, INC.
Doing business as
Rahway Geriatrics Center, Inc.
Practice address
1777 Lawrence St
Rahway, NJ 07065-5111
Phone
(732) 499-7927
Fax
(732) 396-1298
NPI assigned
Jun 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sam Stern
Title
Comptroller
Phone
(718) 567-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 062018 NJ Primary

Addresses

Primary practice location

1777 Lawrence St
Rahway, NJ 07065-5111

Mailing address

170 53Rd St
3Rd Floor
Brooklyn, NY 11232-4319
Phone (718) 567-0400

Other identifiers 1

IdentifierTypeStateIssuer
4505603MedicaidNJ

Other names 1

  • RAHWAY GERIATRICS CENTER, INC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831131507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 53RD ST",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112324319",
            "telephone_number": "718-567-0400",
            "fax_number": "718-567-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 LAWRENCE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070655111",
            "telephone_number": "732-499-7927",
            "fax_number": "732-396-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHWAY GERIATRICS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "718-567-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "062018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4505603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAHWAY GERIATRICS CENTER, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.