Complete Care at Passaic LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COMPLETE CARE AT PASSAIC LLC

Doing business as

Complete Care at Fair Lawn Edge LLC

Practice address

77 E 43Rd St
Paterson, NJ 07514-1116

Phone

(973) 754-6700

NPI assigned

Apr 24, 2017

Organization subpart

No

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

Authorized official

Name

Shalom Stein

Title

Member

Phone

(732) 966-3091

Specialties & licenses 1

Addresses

Other names 1

• Complete Care at Fair Lawn Edge LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Skilled nursing facility certification: CCN 315331

Legal name

COMPLETE CARE AT PASSAIC LLC

Doing business as

COMPLETE CARE AT FAIR LAWN EDGE LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 21, 1994

Last certification

Apr 23, 2024

Beds

180

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Complete Care

Organization structure

LLCProprietary

Incorporated

Jan 26, 2017 in NJ

Enrollment address

77 E 43Rd St
Paterson, NJ 07514-1116

Nursing home name

COMPLETE CARE AT FAIR LAWN EDGE

Affiliated entity

COMPLETE CARE

Listed as

Complete Care at Fair Lawn EdgeCCN 315331 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 21, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180174.4 residents per day on average

Chain

Complete Care85 facilities in the chain

Penalties (3 years)

1Fines totaling $10,036

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

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

Practitioners 1

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

• Domingo Yang Jr., M.D.

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1518286939
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nael A Abutabikh, MD

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1235120155

  Nursing home

  Care Compare affiliation
• Andi Qipo, M.D.

  • Hospitalist Physician
  • Fair Lawn, NJ
  • NPI 1164768461

  Nursing home

  Care Compare affiliation
• Domingo Yang Jr., M.D.

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1518286939

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1851826291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRUMAN AVENUE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015661",
            "telephone_number": "732-966-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E 43RD ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141116",
            "telephone_number": "973-754-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE AT PASSAIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-966-3091"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Complete Care at Fair Lawn Edge LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.

Verify at the official NPI Registry.