Aew Brookside, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

55A009 Issued in NJ

Legal business name

AEW BROOKSIDE, LLC

Practice address

93 Manalapan Ave
Freehold, NJ 07728-1626

Phone

(732) 303-8800

Fax

(732) 303-7244

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Miriam Arem

Title

Office Manager

Phone

(732) 303-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The BrookSide Doing business as

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831238153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MANALAPAN AVE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281626",
            "telephone_number": "732-303-8800",
            "fax_number": "732-303-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MANALAPAN AVE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281626",
            "telephone_number": "732-303-8800",
            "fax_number": "732-303-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEW BROOKSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AREM",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-303-8800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "55A009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9051902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The BrookSide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in New Jersey

• 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.